| NPI | 1710958855 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTHONY (ANDY) F ELLIS President 229-386-5200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: GA PT001108) |
| 225100000X Physical Therapist | |
| 225X00000X Occupational Therapist | |
| Enumeration Date | 2006-01-27 |
| Last Update Date | 2025-09-11 |