| NPI | 1871759233 |
|---|---|
| Other Name | JEANNIE BLOM |
| Entity Type | Organization |
| Authorized Contact | JEANNIE M BLOM CEO 404-849-3443 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: GA 041517) |
| Enumeration Date | 2008-08-05 |
| Last Update Date | 2013-05-22 |