| NPI | 1194733816 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM TOM FOGARTY President 800-232-3550 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center Health Service |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| 261QP2000X Clinic/Center Physical Therapy | |
| 261QX0100X Clinic/Center Occupational Medicine | |
| Enumeration Date | 2006-08-04 |
| Last Update Date | 2010-07-21 |