| NPI | 1376551325 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERICSON SARIEGO BACSA Physical Therapist/ Owner 870-933-2055 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: AR PT1409) |
| Enumeration Date | 2006-08-04 |
| Last Update Date | 2020-08-22 |