| NPI | 1891890844 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARC C STEWART PT/Owner 770-622-5344 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: GA PT006322) |
| Enumeration Date | 2006-09-14 |
| Last Update Date | 2015-06-22 |