| NPI | 1548388697 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RENEE LECLAIR Office Manager 770-822-3031 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: GA 026300) |
| Enumeration Date | 2007-03-27 |
| Last Update Date | 2020-08-22 |