| NPI | 1467444182 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBRA LYNN POWELL Executive Director 251-246-5761 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: AL 1343) |
| Enumeration Date | 2005-08-18 |
| Last Update Date | 2022-09-15 |