| NPI | 1952564155 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BETH DAGNEW Clinical Director 770-901-9303 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: GA 054116) |
| Enumeration Date | 2008-07-08 |
| Last Update Date | 2008-07-08 |