| NPI | 1962790501 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VIRALKUMAR PATEL Owner 770-363-3291 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225XH1200X Occupational Therapist Hand (Licence: GA OT002372) |
| Enumeration Date | 2011-07-18 |
| Last Update Date | 2011-07-18 |