| NPI | 1285270587 |
|---|---|
| Former Legal Business Name | TOTEM LAKE PHYSICAL THERAPY, PLLC |
| Doing Business As | KIRKLAND HAND THERAPY |
| Entity Type | Organization |
| Authorized Contact | DWAN DIAZ Cc 813-560-8157 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Enumeration Date | 2019-11-21 |
| Last Update Date | 2022-11-30 |