NPI | 1528024387 |
---|---|
Entity Type | Organization |
Authorized Contact | PAM S REED Business Operations Adm. 229-985-2080 |
Organization Subpart ? | No |
Primary Taxonomy | 261QR0400X Clinic/Center, Rehabilitation |
Additional Taxonomies | 225100000X Physical Therapist |
225X00000X Occupational Therapist | |
235Z00000X Speech-Language Pathologist, | |
Enumeration Date | 2006-04-21 |
Last Update Date | 2018-03-17 |