| NPI | 1467984559 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTEN SPENCER Owner/Clinical Operations Manager 478-987-9697 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: GA 008313) |
| Enumeration Date | 2017-03-29 |
| Last Update Date | 2017-03-29 |