| NPI | 1962841064 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CECIL M ANDERSON Sole Proprietor 404-297-9315 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: GA 2841) |
| Enumeration Date | 2013-06-21 |
| Last Update Date | 2013-06-21 |