| NPI | 1497370944 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CYNTHIA POWELL CEO, Ot, Cht 251-209-5781 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| Enumeration Date | 2020-06-10 |
| Last Update Date | 2020-06-10 |