| NPI | 1659346336 |
|---|---|
| Doing Business As | ORTHO SPORT PHYSICAL THERAPY |
| Entity Type | Organization |
| Authorized Contact | CHERYL BOYLES Administrator 229-883-4707 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist |
| Enumeration Date | 2006-02-17 |
| Last Update Date | 2009-11-12 |