| NPI | 1386072056 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRANCES JONES Administrator 866-203-4365 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: VA 2305208335) |
| Enumeration Date | 2013-10-16 |
| Last Update Date | 2013-10-16 |