| NPI | 1053504266 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JILL MARIE LANIER President/Physical Therapist 304-766-0757 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2007-08-21 |
| Last Update Date | 2007-08-21 |