| NPI | 1558987669 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BETHANIE MAE BRYAN PT 478-508-1018 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| Enumeration Date | 2020-06-24 |
| Last Update Date | 2021-08-03 |