| NPI | 1598838344 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN JOHNSON Business Manager 770-995-2345 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2251P0200X Physical Therapist, Pediatrics (Licence: GA PT006920) |
| Enumeration Date | 2006-11-17 |
| Last Update Date | 2020-08-22 |