| NPI | 1467208165 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RYAN SAMUEL BUSCAGLIO Owner 704-500-4879 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist |
| Additional Taxonomies | 2251G0304X Physical Therapist, Geriatrics |
| 261QP2000X Clinic/Center, Physical Therapy | |
| Enumeration Date | 2024-04-24 |
| Last Update Date | 2024-05-10 |