| NPI | 1902443153 |
|---|---|
| Doing Business As | REGENERATIVE PHYSICAL THERAPY AND WELLNESS |
| Entity Type | Organization |
| Authorized Contact | DANIEL R TRIBBY Owner 678-334-1575 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Enumeration Date | 2019-12-06 |
| Last Update Date | 2019-12-06 |