NPI | 1023862729 |
---|---|
Entity Type | Organization |
Authorized Contact | ANTHONY STEVEN ESCOTTO Clinic Director/Owner 269-240-4272 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
Enumeration Date | 2024-04-17 |
Last Update Date | 2024-05-28 |