| NPI | 1558782474 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREGORY A PEMBERTON CEO 770-725-9271 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: GA PT002327) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: GA OT000620) |
| Enumeration Date | 2013-12-18 |
| Last Update Date | 2013-12-18 |