| NPI | 1558477695 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMY ROSS Office Manager 706-364-5262 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Additional Taxonomies | 261QP2000X Clinic/Center, Physical Therapy (Licence: GA PT004423) |
| 225XP0200X Occupational Therapist, Pediatrics (Licence: GA 003593) | |
| 261QP2000X Clinic/Center, Physical Therapy (Licence: GA PT004118) | |
| 261QP2000X Clinic/Center, Physical Therapy (Licence: GA PT008564) | |
| Enumeration Date | 2006-08-22 |
| Last Update Date | 2021-05-18 |