| NPI | 1578925244 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EKOP UDOFIA Manager 404-993-4275 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: GA PT010176) |
| Enumeration Date | 2016-03-22 |
| Last Update Date | 2016-03-22 |