| NPI | 1548976103 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YOLANDA ABERNATHY Owner 706-414-0991 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 2251E1300X Physical Therapist, Electrophysiology, Clinical |
| Enumeration Date | 2023-01-26 |
| Last Update Date | 2023-03-19 |