| NPI | 1760843742 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WHITNEY HEADRICK Physical Therapist 229-344-1173 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: NC P15939) |
| Enumeration Date | 2016-03-17 |
| Last Update Date | 2016-03-17 |