| NPI | 1376758045 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BETH DWIGGINS Physical Therapist Owner 870-215-6688 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: AR PT 2517) |
| Enumeration Date | 2007-05-14 |
| Last Update Date | 2020-08-22 |