| NPI | 1164152419 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN L SEYMORE Owner/PT 866-526-8088 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2022-06-10 |
| Last Update Date | 2026-01-28 |