| NPI | 1912548959 |
|---|---|
| Doing Business As | IDEAL THERAPY II |
| Entity Type | Organization |
| Authorized Contact | CORLETTE ALEXIS LUKE-CAMBRIDGE CEO 404-994-7727 |
| 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 | 2021-09-30 |