| NPI | 1992269807 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHARON L GAITER Owner 770-459-6533 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 2251P0200X Physical Therapist, Pediatrics |
| 225XP0200X Occupational Therapist, Pediatrics | |
| 235Z00000X Speech-Language Pathologist, | |
| Enumeration Date | 2019-01-24 |
| Last Update Date | 2019-01-24 |