| NPI | 1972832772 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA M DOUGHERTY Owner/Therapist 770-316-0601 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center Physical Therapy (Licence: GA PT006185) |
| Enumeration Date | 2009-12-08 |
| Last Update Date | 2009-12-08 |