| NPI | 1619118577 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANIELLO RODRIGUEZ Owner 404-344-8129 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Additional Taxonomies | 111N00000X Chiropractor |
| 225100000X Physical Therapist | |
| Enumeration Date | 2009-03-23 |
| Last Update Date | 2010-03-15 |