| NPI | 1477858421 |
|---|---|
| Doing Business As | PHYSIO LAB |
| Entity Type | Organization |
| Authorized Contact | SIMON VICTOR WATSON Business Manager/Director 478-919-6835 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2011-01-24 |
| Last Update Date | 2011-01-24 |