| NPI | 1578600391 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIFFANY CHRISTINE MAGUIRE Office Manager 706-854-8434 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: GA PT007370) |
| Enumeration Date | 2007-01-31 |
| Last Update Date | 2020-08-22 |