| NPI | 1750009023 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NAANDRIA RUTH NEWSOM Physical Therapist 404-536-4681 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2022-08-22 |
| Last Update Date | 2022-08-22 |