| NPI | 1528004991 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER HALL CFO 678-403-3568 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TN PT0000000901) |
| 225200000X Physical Therapy Assistant (Licence: TN PTA0000003232) | |
| 225200000X Physical Therapy Assistant | |
| Enumeration Date | 2006-06-22 |
| Last Update Date | 2018-04-26 |