| NPI | 1609106418 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REID THOMAS KELLEY President 678-667-3435 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: GA PT009889) |
| Enumeration Date | 2009-12-30 |
| Last Update Date | 2024-10-21 |