NPI | 1417508730 |
---|---|
Doing Business As | AVIATOR SPORTS PERFORMANCE & REHABILITATION |
Entity Type | Organization |
Authorized Contact | CARL HAAS Accounts & Operations Senior Exec 972-961-4920 |
Organization Subpart ? | No |
Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation |
Enumeration Date | 2019-09-27 |
Last Update Date | 2020-12-15 |