| NPI | 1790832566 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JON MICHAEL PRESTON President 770-232-7100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: GA PT006667) |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| 2251H1200X Physical Therapist, Hand | |
| Enumeration Date | 2007-01-04 |
| Last Update Date | 2025-09-15 |