NPI | 1104607316 |
---|---|
Doing Business As | FYZICAL THERAPY & BALANCE CENTERS |
Entity Type | Organization |
Authorized Contact | JERRA GRAVES President 505-362-4769 |
Organization Subpart ? | No |
Primary Taxonomy | 225100000X Physical Therapist |
Enumeration Date | 2023-10-12 |
Last Update Date | 2023-10-12 |