| NPI | 1881754331 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN RADIN Manager 770-926-7424 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 111N00000X Chiropractor |
| Enumeration Date | 2006-12-12 |
| Last Update Date | 2009-03-13 |