| NPI | 1609257369 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLIFFORD E SAMS Manager 678-478-7058 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: GA 225100000X) |
| Enumeration Date | 2015-06-17 |
| Last Update Date | 2015-06-17 |