| NPI | 1518262682 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICIA PERRY BRUBAKER Owner 678-763-0445 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: GA PT007154) |
| Enumeration Date | 2011-01-20 |
| Last Update Date | 2011-01-20 |