| NPI | 1235180118 |
|---|---|
| Former Legal Business Name | COMPASS MEDICAL, INC. |
| Entity Type | Organization |
| Authorized Contact | GABRIELLE L WAGNER Owner 772-999-3129 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: FL PT20461) |
| Enumeration Date | 2006-05-15 |
| Last Update Date | 2015-05-22 |