| NPI | 1770073272 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REBECCA JEAN FITZPATRICK Owner 912-319-0399 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2251P0200X Physical Therapist, Pediatrics (Licence: GA PT12329) |
| Enumeration Date | 2018-05-10 |
| Last Update Date | 2018-05-10 |