| NPI | 1871502229 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEITH E EVANS Director/Owner 404-346-1526 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: GA 000168) |
| Enumeration Date | 2006-08-05 |
| Last Update Date | 2023-02-10 |