| NPI | 1326639543 |
|---|---|
| Doing Business As | HAVEN PELVIC PHYSICAL THERAPY |
| Entity Type | Organization |
| Authorized Contact | KATHERINE PACE Owner 551-358-3341 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2021-01-30 |
| Last Update Date | 2022-04-11 |