| NPI | 1447830278 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GRAYSON LAMBERT Owner 276-608-0220 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 251E00000X Home Health |
| Enumeration Date | 2021-04-14 |
| Last Update Date | 2021-08-19 |