| NPI | 1356798565 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRENDA L. MILLER Physical Therapist 302-383-0620 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center Physical Therapy (Licence: VA 2305003472) |
| Enumeration Date | 2016-05-17 |
| Last Update Date | 2017-08-14 |