NPI | 1710958855 |
---|---|
Entity Type | Organization |
Authorized Contact | ANTHONY (ANDY) F ELLIS President 229-386-5200 |
Organization Subpart ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: GA PT001108) |
Additional Taxonomies | 225100000X Physical Therapist |
225X00000X Occupational Therapist | |
235Z00000X Speech-Language Pathologist, | |
Enumeration Date | 2006-01-27 |
Last Update Date | 2020-08-22 |