NPI | 1053545988 |
---|---|
Doing Business As | AMBASSADOR PHYSICAL THERAPY |
Entity Type | Organization |
Authorized Contact | TODD DOUGLAS KOOS Owner/Physical Therapist 704-502-9205 |
Organization Subpart ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: NC 9417) |
Additional Taxonomies | 261QP2000X Clinic/Center, Physical Therapy |
Enumeration Date | 2009-05-06 |
Last Update Date | 2025-07-22 |