| NPI | 1386821320 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WENDY KAY WILHELM Owner Of LLC 251-458-3570 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: AL PTH4Z16) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: AL 2268) |
| Enumeration Date | 2008-01-22 |
| Last Update Date | 2008-01-22 |