| NPI | 1578628087 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THERESA ROBINSON Speech Language Pathologist 478-841-2772 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: GA PT002429) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: GA PT002435) |
| 225X00000X Occupational Therapist (Licence: GA OT003589) | |
| 235Z00000X Speech-Language Pathologist, (Licence: GA SLP001909) | |
| 235Z00000X Speech-Language Pathologist, (Licence: GA SLP005082) | |
| Enumeration Date | 2006-12-26 |
| Last Update Date | 2008-08-01 |