| NPI | 1679225999 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA DIEU KE Physical Therapist 912-441-6213 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Additional Taxonomies | 251E00000X Home Health |
| Enumeration Date | 2022-01-19 |
| Last Update Date | 2022-01-19 |