| NPI | 1811426075 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRYSTAL NICOLE PADILLA Facility Director 404-736-4482 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: GA 051686896) |
| Enumeration Date | 2017-06-09 |
| Last Update Date | 2022-07-21 |