| NPI | 1174365738 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RACHEL ROSVOLD Owner, Physical Therapist 267-317-8834 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2024-06-12 |
| Last Update Date | 2024-06-12 |