NPI | 1144949561 |
---|---|
Doing Business As | REBEL PT |
Entity Type | Organization |
Authorized Contact | COURTNEY SMIACH Owner/Physical Therapist 814-533-1009 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
Enumeration Date | 2022-08-29 |
Last Update Date | 2022-08-29 |