NPI | 1619369881 |
---|---|
Entity Type | Organization |
Authorized Contact | ROLANDO E. MANUEL PT A 770-639-3547 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: GA PTA001792) |
Enumeration Date | 2015-02-25 |
Last Update Date | 2015-09-23 |