| NPI | 1417432253 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHANIE KORSO Physical Therapist, Owner 331-230-8796 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2018-09-27 |
| Last Update Date | 2019-02-08 |