| NPI | 1558124149 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY KRAUSS Director 855-902-2777 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2024-02-05 |
| Last Update Date | 2024-02-08 |