| NPI | 1457178436 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID CPBB Owner/PT 765-714-5033 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 111N00000X Chiropractor |
| 225X00000X Occupational Therapist | |
| Enumeration Date | 2024-09-23 |
| Last Update Date | 2024-09-23 |