| NPI | 1225541246 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IAN OPPEL COO 980-254-7007 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| Enumeration Date | 2017-11-13 |
| Last Update Date | 2025-08-05 |