| NPI | 1023367323 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELODY NAGY Owner/Member 267-613-8246 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 103T00000X Psychologist |
| 111N00000X Chiropractor | |
| 133V00000X Dietitian, Registered | |
| Enumeration Date | 2012-08-31 |
| Last Update Date | 2018-02-22 |