| NPI | 1265809263 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATHIAS CLIFFORD BODDICKER Physical Therapist 302-382-4684 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: MD 25618) |
| Enumeration Date | 2015-08-25 |
| Last Update Date | 2015-08-25 |