| NPI | 1811642481 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSHUA BLAKE CARTER Physical Therapist 706-570-8878 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2022-02-13 |
| Last Update Date | 2022-02-13 |