| NPI | 1659664399 |
|---|---|
| Doing Business As | PEACHTREE ORTHOPAEDIC PHYSICAL THERAPY |
| Entity Type | Organization |
| Authorized Contact | GREG COOPER Managing Partner 219-365-6560 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| Enumeration Date | 2011-05-26 |
| Last Update Date | 2011-05-26 |