| NPI | 1861600579 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH WILLIE POWELL Owner 404-272-5835 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: NC PT007482) |
| Enumeration Date | 2007-05-18 |
| Last Update Date | 2008-06-16 |