| NPI | 1164240560 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRANDON SEAN MICHAEL JOHNSON Physical Therapist/CEO 702-800-1018 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation |
| Enumeration Date | 2024-10-03 |
| Last Update Date | 2024-10-03 |