| NPI | 1558853085 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER MCGOWAN Business Owner/Physical Therapist 678-506-0196 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: GA PT011852) |
| Enumeration Date | 2018-05-31 |
| Last Update Date | 2018-05-31 |