NPI | 1205418688 |
---|---|
Entity Type | Organization |
Authorized Contact | VICTOR FRANCISCO SANTAMARIA GONZALEZ Company President & PT Provider 541-974-8153 |
Organization Subpart ? | No |
Primary Taxonomy | 225100000X Physical Therapist |
Additional Taxonomies | 252Y00000X Early Intervention Provider Agency |
Enumeration Date | 2021-04-25 |
Last Update Date | 2021-04-25 |