| NPI | 1528722618 |
|---|---|
| Other Name | BLUE MOUNTAIN THERAPY OUTPATIENT PHYSICAL THERAPY |
| Entity Type | Organization |
| Authorized Contact | MELISSA HOPE HENDERSON Hr 276-525-4460 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist |
| Enumeration Date | 2021-10-26 |
| Last Update Date | 2021-10-26 |