| NPI | 1518289412 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRENT HALL Owner 251-300-6666 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Additional Taxonomies | 261QX0100X Clinic/Center, Occupational Medicine |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| Enumeration Date | 2010-02-18 |
| Last Update Date | 2023-02-17 |