| NPI | 1396704094 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HAL HENNINGER Partner 866-800-9147 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| Enumeration Date | 2006-03-21 |
| Last Update Date | 2011-03-09 |