| NPI | 1700522059 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAFNE SCHENENDORF CFO 678-687-6805 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation |
| Additional Taxonomies | 111NR0400X |
| 225200000X Physical Therapy Assistant | |
| 261QP2000X Clinic/Center, Physical Therapy | |
| 261QR0400X Clinic/Center, Rehabilitation | |
| Enumeration Date | 2022-05-10 |
| Last Update Date | 2023-10-31 |