| NPI | 1093311169 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | JEFFREY G WISSEL-LITTMANN President & Assistant Secretary 800-404-6050  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 225100000X Physical Therapist | 
| Enumeration Date | 2020-12-04 | 
| Last Update Date | 2021-12-02 |