NPI | 1104319433 |
---|---|
Former Legal Business Name | RISE PHYSICAL THERAPY PA |
Entity Type | Organization |
Authorized Contact | TYLER GREEN Owner 479-239-5432 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
Enumeration Date | 2018-06-12 |
Last Update Date | 2022-05-12 |