| NPI | 1720834302 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN GERALD COOK Owner 770-207-6390 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081P0010X Physical Medicine & Rehabilitation, Pediatric Rehabilitation Medicine |
| Enumeration Date | 2024-04-25 |
| Last Update Date | 2024-04-25 |