NPI | 1558508580 |
---|---|
Entity Type | Organization |
Authorized Contact | CORLETTE ALEXIS LUKE-CAMBRIDGE Owner 404-994-7727 |
Organization Subpart ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: GA PT008318) |
Enumeration Date | 2009-01-13 |
Last Update Date | 2015-02-23 |