| NPI | 1487810412 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEYSA MURRELL Billing Officer 770-795-0506 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: GA 056406) |
| Enumeration Date | 2008-07-29 |
| Last Update Date | 2008-07-29 |