| NPI | 1720535867 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAREN BITTICK NELSON Owner 770-995-2379 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2251P0200X Physical Therapist, Pediatrics (Licence: GA 012438) |
| Enumeration Date | 2016-09-07 |
| Last Update Date | 2016-09-07 |