| NPI | 1487380044 |
|---|---|
| Other Name | THE LAKE PHYSICAL THERAPY |
| Entity Type | Organization |
| Authorized Contact | PAUL KUIPERS Physical Therapist 501-402-0787 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2022-07-26 |
| Last Update Date | 2022-07-26 |