| NPI | 1588161681 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JILLIAN ALEXIS SIMPSON Rehabilitiation Practitioner 470-298-2630 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225400000X Rehabilitation Practitioner |
| Enumeration Date | 2018-04-06 |
| Last Update Date | 2025-11-09 |