NPI | 1134636269 |
---|---|
Entity Type | Organization |
Authorized Contact | JACOB D EREKSON PT Director/Owner 385-405-2712 |
Organization Subpart ? | No |
Primary Taxonomy | 2251X0800X Physical Therapist Orthopedic (Licence: UT 7376354-2401) |
Enumeration Date | 2018-01-10 |
Last Update Date | 2018-01-10 |