| NPI | 1386140374 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY JANE B SY Owner 501-701-8617 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| Enumeration Date | 2018-03-30 |
| Last Update Date | 2023-01-24 |