| NPI | 1417361197 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GLENN P BROWN President 302-423-0236 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2251S0007X Physical Therapist, Sports (Licence: DE J1-0000429) |
| Enumeration Date | 2014-06-20 |
| Last Update Date | 2014-09-11 |