| NPI | 1932359130 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREGG P MULVANY General Manager / Owner 770-683-0250 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2008-09-24 |
| Last Update Date | 2008-09-24 |