| NPI | 1508193608 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL WALSH Owner 302-724-5593 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 261QP2000X Clinic/Center, Physical Therapy (Licence: DE J1-0001730) |
| Enumeration Date | 2009-11-10 |
| Last Update Date | 2025-05-13 |