| NPI | 1548912165 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN L SEYMORE Owner 866-526-8088 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology |
| Enumeration Date | 2022-01-25 |
| Last Update Date | 2026-01-28 |