| NPI | 1174736862 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES BYRON DICK Owner 276-628-6043 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Additional Taxonomies | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2007-05-08 |
| Last Update Date | 2022-11-02 |