| NPI | 1730120247 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MANDISA SHANI JONES Owner 404-377-9107 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: GA PT006837) |
| Enumeration Date | 2006-06-08 |
| Last Update Date | 2022-08-04 |