| NPI | 1598154445 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BILLIE RENEE GILL-CHESTNUT Physical Therapist 678-467-9953 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: GA PT004015) |
| Enumeration Date | 2015-01-15 |
| Last Update Date | 2015-01-15 |