| NPI | 1043237936 |
|---|---|
| Doing Business As | SOUTHSIDE PHYSICAL THERAPY |
| Entity Type | Organization |
| Authorized Contact | KEVIN P SCHRACK President 757-562-0990 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2006-07-16 |
| Last Update Date | 2020-08-22 |