| NPI | 1851468078 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALICE P NIX Administrator 770-971-5244 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225XH1200X Occupational Therapist, Hand |
| Enumeration Date | 2006-11-30 |
| Last Update Date | 2020-08-22 |