| NPI | 1124835491 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEITEL COLLEEN UBAYUBAY Physical Therapist/ Owner 331-233-8777 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2024-12-11 |
| Last Update Date | 2024-12-11 |