NPI | 1477987568 |
---|---|
Doing Business As | GEORGIA SPORTS PHYSICAL THERAPY |
Entity Type | Organization |
Authorized Contact | LAMAR B. FRASIER Owner 410-688-3708 |
Organization Subpart ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: GA PT011203) |
Enumeration Date | 2013-08-26 |
Last Update Date | 2014-04-08 |