| NPI | 1992431969 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMANTHA CANNON MARTIN Owner 770-310-8100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist |
| Additional Taxonomies | 251E00000X Home Health |
| 261QH0100X Clinic/Center, Health Services | |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| Enumeration Date | 2022-08-01 |
| Last Update Date | 2022-08-01 |