| NPI | 1376158642 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STACEY GARCIA Owner/Physical Therapist 802-309-5004 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center Physical Therapy |
| Enumeration Date | 2020-09-13 |
| Last Update Date | 2020-09-13 |