| NPI | 1780127530 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRISTAN BOYD Physical Therapist/Owner 706-631-9994 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: TX 1173420) |
| Enumeration Date | 2016-11-28 |
| Last Update Date | 2017-06-08 |