| NPI | 1700107984 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASON COLLIER Manager 770-500-3848 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: GA PT006847) |
| Enumeration Date | 2010-06-22 |
| Last Update Date | 2010-06-22 |