| NPI | 1619674124 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLI HURD President 678-967-1924 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist |
| Additional Taxonomies | 225100000X Physical Therapist |
| 235Z00000X Speech-Language Pathologist, | |
| 261QM1300X Clinic/Center, Multi-Specialty | |
| Enumeration Date | 2023-02-14 |
| Last Update Date | 2023-02-20 |