| NPI | 1619583382 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHANIE LYNN WATTS Occupational Therapist/Owner 678-779-0842 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 261QP2000X Clinic/Center Physical Therapy |
| Enumeration Date | 2020-09-18 |
| Last Update Date | 2020-09-18 |