| NPI | 1730698556 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DWIGHT ALEXANDER PEEPLES Owner 404-320-0981 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: SC 8180) |
| Enumeration Date | 2017-09-25 |
| Last Update Date | 2017-09-25 |