| NPI | 1962459883 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELLEN LEWANDOWSKI CFO 770-713-4363 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: GA 002277) |
| Enumeration Date | 2006-05-27 |
| Last Update Date | 2023-10-31 |