NPI | 1407441025 |
---|---|
Entity Type | Organization |
Authorized Contact | KELSEY VAGNONI Physical Therapist 302-345-7202 |
Organization Subpart ? | No |
Primary Taxonomy | 2081S0010X Physical Medicine & Rehabilitation, Sports Medicine |
Enumeration Date | 2021-03-05 |
Last Update Date | 2021-03-05 |