| NPI | 1487343158 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HEATHER IRENE MATHESON Physical Therapist 404-941-5001 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2023-05-08 |
| Last Update Date | 2023-05-08 |