| NPI | 1457605032 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOISE SALGADO Member 571-271-5396 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| Enumeration Date | 2012-11-02 |
| Last Update Date | 2012-11-02 |