| NPI | 1942788310 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAYA REEVES Owner/PT A 678-651-4902 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: GA PTA003477) |
| Enumeration Date | 2018-07-29 |
| Last Update Date | 2019-02-18 |