| NPI | 1558478503 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROL SPECTER NEMEROV Owner 770-980-9276 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225400000X Rehabilitation Practitioner (Licence: GA OT004284) |
| Enumeration Date | 2006-08-24 |
| Last Update Date | 2020-08-22 |