| NPI | 1841710498 |
|---|---|
| Other Name | GEORGIA PHYSICAL THERAPY & SPORTS MEDICINE CENTER - WOODSTOCK |
| Entity Type | Organization |
| Authorized Contact | CHAD LUTH Owner 770-888-3011 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2017-06-26 |
| Last Update Date | 2017-06-26 |