| NPI | 1548461486 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAREN L. BENNETT Administrator 404-248-0415 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: GA 2144) |
| 235Z00000X Speech-Language Pathologist | |
| Enumeration Date | 2007-05-29 |
| Last Update Date | 2020-08-22 |