| NPI | 1114645322 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHA'ROSE T ERION Owner/Manager 256-705-3525 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center Physical Therapy |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2022-08-15 |
| Last Update Date | 2023-11-15 |