| NPI | 1467821603 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LARA ELIZABETH BETZ Physical Therapist/Owner 706-767-4419 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: GA PT008282) |
| Enumeration Date | 2015-09-17 |
| Last Update Date | 2015-09-17 |