| NPI | 1922236090 |
|---|---|
| Doing Business As | THE CENTER FOR THE PHYSICALLY ACTIVE |
| Entity Type | Organization |
| Authorized Contact | CLAUDE MCCANTS Clinical Director 678-418-0066 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: GA 000392) |
| Enumeration Date | 2009-06-29 |
| Last Update Date | 2009-06-29 |