| NPI | 1205155330 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDA R. OVERSTREET Office Manager 251-580-3232 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: AL PTH1417) |
| Enumeration Date | 2010-05-28 |
| Last Update Date | 2010-05-28 |