| NPI | 1255921854 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN M MICHELETTI Owner/Physical Therapist 424-390-4010 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist Orthopedic |
| Enumeration Date | 2021-01-19 |
| Last Update Date | 2022-08-06 |