| NPI | 1033640032 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN SEYMORE Partner 866-526-8088 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology |
| Enumeration Date | 2017-03-22 |
| Last Update Date | 2017-03-22 |