| NPI | 1811385669 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL Y SHIN Owner/CEO 770-595-2130 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: GA PT010087) |
| Enumeration Date | 2015-01-02 |
| Last Update Date | 2015-01-02 |