| NPI | 1619741139 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ARTEMIS GEORGIA TRYPHONAS President 757-318-1598 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation |
| Enumeration Date | 2023-11-15 |
| Last Update Date | 2023-11-15 |