| NPI | 1992394779 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN MCCLUSKEY CEO/Member 706-322-7762 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2021-01-15 |
| Last Update Date | 2021-01-15 |