| NPI | 1548437007 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERESA K. PARTON Owner 706-855-0541 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center Physical Therapy (Licence: GA 001791) |
| Enumeration Date | 2008-05-14 |
| Last Update Date | 2008-07-23 |