| NPI | 1912548959 |
|---|---|
| Doing Business As | IDEAL THERAPY II |
| Entity Type | Organization |
| Authorized Contact | SAMSON SAINT-REMY CEO 678-626-1833 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 261QP2000X Clinic/Center, Physical Therapy |
| 261QR0400X Clinic/Center, Rehabilitation | |
| Enumeration Date | 2019-10-01 |
| Last Update Date | 2024-11-26 |