NPI | 1467041194 |
---|---|
Former Legal Business Name | FORGE THE ATHLETE |
Entity Type | Organization |
Authorized Contact | LYANNE COLON Doctor Of Physical Therapy 832-350-6322 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
Enumeration Date | 2021-01-17 |
Last Update Date | 2021-05-19 |