| NPI | 1215324926 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVE K. O Co Owner 267-408-9294 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: PA PT016630) |
| Enumeration Date | 2015-04-20 |
| Last Update Date | 2016-12-21 |