| NPI | 1720557127 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIFFANY ALLYN LAMONDE Owner/President 770-855-5621 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic |
| Enumeration Date | 2018-11-15 |
| Last Update Date | 2018-11-15 |