| NPI | 1528829215 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRANDON FELIPE TEJEDA GARZON Physical Therapist Owner 689-236-4747 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Enumeration Date | 2024-01-19 |
| Last Update Date | 2024-01-19 |