| NPI | 1710122791 |
|---|---|
| Other Name | PT FORUM |
| Entity Type | Organization |
| Authorized Contact | AMITA GUPTA President 678-431-1301 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: GA PT005421) |
| Enumeration Date | 2008-12-04 |
| Last Update Date | 2008-12-04 |