| NPI | 1114011152 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MIRJAM MAASSEN VEETERS Owner 225-927-3000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: LA 01436F) |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2020-08-22 |