| NPI | 1801031232 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDA SUE THERIAC Office Manager 770-716-9121 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: GA 002989) |
| Enumeration Date | 2008-12-15 |
| Last Update Date | 2008-12-15 |