| NPI | 1477319051 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEE BOND CEO 228-230-2663 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| Enumeration Date | 2024-02-22 |
| Last Update Date | 2024-02-22 |