| NPI | 1417781220 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CYNTHIA HUGHELL CEO/Physical Therapist 424-422-0446 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2251P0200X Physical Therapist, Pediatrics |
| Additional Taxonomies | 225XP0200X Occupational Therapist, Pediatrics |
| Enumeration Date | 2024-08-26 |
| Last Update Date | 2024-08-26 |