| NPI | 1659107308 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATT HUNT CFO 678-221-7055 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0400X Clinic/Center Rehabilitation |
| Additional Taxonomies | 225100000X Physical Therapist |
| 225X00000X Occupational Therapist | |
| 235Z00000X Speech-Language Pathologist | |
| Enumeration Date | 2024-09-10 |
| Last Update Date | 2024-09-10 |