| NPI | 1205195500 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLEVELAND TYRONE THOMPSON President/Owner 581-835-4142 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 251E00000X Home Health |
| Enumeration Date | 2012-05-08 |
| Last Update Date | 2012-05-08 |