NPI | 1467506691 |
---|---|
Entity Type | Organization |
Authorized Contact | MELISSA DALY LITTLEFIELD Owner/ CEO 855-454-3784 |
Organization Subpart ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: CA 28443) |
Additional Taxonomies | 261QR0400X Clinic/Center, Rehabilitation (Licence: CA 024121) |
Enumeration Date | 2007-01-23 |
Last Update Date | 2021-02-11 |