| NPI | 1114850377 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GELENIE BIE PECJO Authorized Official 754-228-9269 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2026-06-06 |
| Last Update Date | 2026-06-06 |