| NPI | 1568018059 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEEPTI DAMLE VP Revenue Cycle 678-459-3752 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| Enumeration Date | 2019-08-12 |
| Last Update Date | 2019-12-10 |