| NPI | 1962868620 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BLAIR GREEN Owner / VP 770-500-3848 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: GA 00174908) |
| Enumeration Date | 2016-01-12 |
| Last Update Date | 2016-01-12 |