NPI | 1255919684 |
---|---|
Doing Business As | TITAN PHYSICAL THERAPY |
Entity Type | Organization |
Authorized Contact | JONATHAN MICKULIK Physical Therapist, Owner 570-606-5399 |
Organization Subpart ? | No |
Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic |
Enumeration Date | 2021-03-29 |
Last Update Date | 2021-06-02 |