| NPI | 1902255029 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINE BOST Physical Therapist 912-756-3090 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: GA PT7463) |
| Additional Taxonomies | 2251P0200X Physical Therapist Pediatrics (Licence: GA 7463) |
| Enumeration Date | 2016-06-09 |
| Last Update Date | 2016-07-20 |