| NPI | 1720100126 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SERGIO O HERNANDEZ President And Owner 770-622-2532 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: GA 03810) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: GA OT003725) |
| 225X00000X Occupational Therapist (Licence: GA OT002773) | |
| Enumeration Date | 2007-04-04 |
| Last Update Date | 2009-09-23 |