| NPI | 1518012848 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIE MCKENZIE Owner 678-432-4755 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081P0010X Physical Medicine & Rehabilitation, Pediatric Rehabilitation Medicine |
| Enumeration Date | 2007-01-25 |
| Last Update Date | 2020-08-22 |