NPI | 1063009918 |
---|---|
Entity Type | Organization |
Authorized Contact | ROXANNE ST. MARTIN Owner 334-233-3651 |
Organization Subpart ? | No |
Primary Taxonomy | 225100000X Physical Therapist |
Additional Taxonomies | 2081S0010X Physical Medicine & Rehabilitation, Sports Medicine |
2251S0007X Physical Therapist, Sports | |
2251X0800X Physical Therapist, Orthopedic | |
Enumeration Date | 2020-12-27 |
Last Update Date | 2020-12-27 |