| NPI | 1386744530 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMY CULBERTSON Admin 795-939-0820 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225200000X Physical Therapy Assistant |
| Enumeration Date | 2006-09-25 |
| Last Update Date | 2023-02-14 |