| NPI | 1205103587 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JONI M FLAHERTY Owner 270-478-4366 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, |
| 225X00000X Occupational Therapist | |
| Enumeration Date | 2011-11-30 |
| Last Update Date | 2025-09-23 |