| NPI | 1093378168 |
|---|---|
| Former Legal Business Name | PHYSIALIGN |
| Entity Type | Organization |
| Authorized Contact | LAUREN WEDAM Authorized Agent 802-318-0581 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Additional Taxonomies | 2251G0304X Physical Therapist, Geriatrics |
| 2251X0800X Physical Therapist, Orthopedic | |
| Enumeration Date | 2019-04-15 |
| Last Update Date | 2019-12-26 |