NPI | 1184923666 |
---|---|
Other Name | ST. AGNES PHYSICAL THERAPY |
Entity Type | Organization |
Authorized Contact | KEITH VANDER KOLK President/CEO 667-234-2101 |
Organization Subpart ? | Yes |
Primary Taxonomy | 225100000X Physical Therapist |
Enumeration Date | 2011-03-23 |
Last Update Date | 2016-02-25 |