NPI | 1003053802 |
---|---|
Doing Business As | PT@EFITNESS |
Entity Type | Organization |
Authorized Contact | RODNEY KEITH GANEY Physical Therapist/Owner 228-392-0228 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: MS PT0841) |
Additional Taxonomies | 261QP2000X Clinic/Center, Physical Therapy (Licence: MS PT0926) |
261QP2000X Clinic/Center, Physical Therapy (Licence: MS PT0500) | |
Enumeration Date | 2009-01-15 |
Last Update Date | 2009-02-26 |