| NPI | 1306634084 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NEIL THOMAS BOYLE Owner 267-337-4139 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Additional Taxonomies | 293D00000X Physiological Laboratory |
| Enumeration Date | 2025-04-30 |
| Last Update Date | 2026-04-07 |