| NPI | 1558406397 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIA B GAUDIO Owner 770-924-3498 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center Physical Therapy (Licence: GA 002251 PT) |
| Enumeration Date | 2007-02-20 |
| Last Update Date | 2020-08-22 |