| NPI | 1215284666 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERENCE LAWSON President 800-515-4552 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: CA 11970) |
| Additional Taxonomies | 261QP2000X Clinic/Center, Physical Therapy (Licence: HI 1761) |
| Enumeration Date | 2012-08-03 |
| Last Update Date | 2014-06-09 |