| NPI | 1225514268 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEVIN PATRICK CALVEY Owner 302-545-3987 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: DE J1-0002309) |
| Additional Taxonomies | 133V00000X Dietitian, Registered |
| Enumeration Date | 2018-07-12 |
| Last Update Date | 2024-04-09 |