| NPI | 1811021157 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GEORGE BRENT APPLEGATE Owner 678-984-7774 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Additional Taxonomies | 225100000X Physical Therapist |
| 225X00000X Occupational Therapist | |
| 261QP2000X Clinic/Center, Physical Therapy (Licence: GA PT007063) | |
| Enumeration Date | 2007-03-16 |
| Last Update Date | 2024-05-13 |