| NPI | 1083805444 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TOM FOGARTY President 800-232-3550 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center Health Service |
| Additional Taxonomies | 261QP2000X Clinic/Center Physical Therapy |
| 261QU0200X Clinic/Center Urgent Care | |
| 261QX0100X Clinic/Center Occupational Medicine | |
| Enumeration Date | 2007-08-09 |
| Last Update Date | 2009-02-23 |