| NPI | 1376967083 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER MICHAEL MCKENZIE Owner/Physical Therapist 267-332-8102 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2251S0007X Physical Therapist, Sports (Licence: PA PT018791) |
| Enumeration Date | 2014-02-17 |
| Last Update Date | 2022-10-18 |