| NPI | 1962727719 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSICA LONCAR Owner 404-303-9153 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: GA 6650) |
| Enumeration Date | 2010-04-05 |
| Last Update Date | 2024-01-30 |