| NPI | 1104034073 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMANDA STREETER Vice President 800-699-9395 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WV 006006) |
| Enumeration Date | 2007-05-21 |
| Last Update Date | 2023-12-04 |