| NPI | 1427521723 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IAN OPPEL COO 980-254-7007 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| 235Z00000X Speech-Language Pathologist, | |
| 261QR0400X Clinic/Center, Rehabilitation | |
| Enumeration Date | 2019-01-09 |
| Last Update Date | 2025-02-11 |