| NPI | 1518185842 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT L MCNEIL Administrator Owner 404-297-9330 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: GA 295) |
| Enumeration Date | 2007-04-23 |
| Last Update Date | 2020-08-22 |