| NPI | 1619318649 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDA LANGE Physical Therapist 678-457-5630 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 261QC1800X Clinic/Center, Corporate Health |
| Enumeration Date | 2013-07-06 |
| Last Update Date | 2013-07-06 |