| NPI | 1932220266 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHERISSE M SANSONE President 706-782-2585 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: GA PT006931) |
| Enumeration Date | 2007-04-03 |
| Last Update Date | 2015-07-29 |