| NPI | 1861946329 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLEN JAMESON Chief Financial Officer 678-932-3629 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 261QR0400X Clinic/Center, Rehabilitation |
| 225X00000X Occupational Therapist | |
| Enumeration Date | 2016-08-12 |
| Last Update Date | 2025-10-07 |