NPI | 1437825296 |
---|---|
Entity Type | Organization |
Authorized Contact | TRISHA PHELPS Owner 270-685-9499 |
Organization Subpart ? | No |
Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
Additional Taxonomies | 261QM1300X Clinic/Center, Multi-Specialty |
261QP2000X Clinic/Center, Physical Therapy | |
Enumeration Date | 2021-08-20 |
Last Update Date | 2022-05-11 |