| NPI | 1427726108 |
|---|---|
| Doing Business As | DIPLOMAT PHYSICAL THERAPY CLINIC LLC |
| Entity Type | Organization |
| Authorized Contact | ANDREW MORRICE NANKWENYA Owner 502-712-1749 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X |
| Enumeration Date | 2021-08-30 |
| Last Update Date | 2021-08-30 |