| NPI | 1972853935 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHERINE DENISE SYLVESTER Organizer 770-354-1013 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: GA PT009941) |
| Enumeration Date | 2012-09-17 |
| Last Update Date | 2012-09-17 |