| NPI | 1699072405 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENNETH JAMES WHITLOW Physical Therapist/ Owner 706-216-7910 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: GA PT004873) |
| Enumeration Date | 2011-02-15 |
| Last Update Date | 2011-02-15 |