| NPI | 1750773842 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK EDWARD PREWITT CFO 404-432-7222 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: GA PT009713) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: GA OT003664) |
| Enumeration Date | 2015-02-26 |
| Last Update Date | 2016-04-04 |