| NPI | 1386069813 |
|---|---|
| Doing Business As | TAI - CRESCENT VILLAGE |
| Entity Type | Organization |
| Authorized Contact | TODD GIFFORD COO 800-219-8835 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| Enumeration Date | 2014-02-20 |
| Last Update Date | 2014-06-11 |