| NPI | 1750528303 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELA NICOLE FOWLER Owner/PT 404-247-0174 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: GA PT008404) |
| Enumeration Date | 2009-01-17 |
| Last Update Date | 2009-01-17 |