| NPI | 1548502289 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THERESA LANG PALKOVIC President 304-780-4401 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 261QP2000X Clinic/Center Physical Therapy (Licence: OH 008131) |
| Enumeration Date | 2013-03-20 |
| Last Update Date | 2021-05-26 |