| NPI | 1689730319 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE JENNIFER SUTHERLAND Physical Therapist 229-292-7426 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2251P0200X Physical Therapist, Pediatrics (Licence: GA PT007469) |
| Enumeration Date | 2006-12-28 |
| Last Update Date | 2015-10-02 |