| NPI | 1194565648 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN L SEYMORE Owner 866-526-8088 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0600X |
| Additional Taxonomies | 2251E1300X Physical Therapist, Electrophysiology, Clinical |
| Enumeration Date | 2024-05-30 |
| Last Update Date | 2026-04-17 |