NPI | 1588339402 |
---|---|
Doing Business As | ATHLETICO PHYSICAL THERAPY |
Entity Type | Organization |
Authorized Contact | TASHEDA BROUGHTON Manager, Credentialing 252-248-3313 |
Organization Subpart ? | No |
Primary Taxonomy | 261Q00000X Clinic/Center |
Additional Taxonomies | 225100000X Physical Therapist |
225X00000X Occupational Therapist | |
Enumeration Date | 2021-08-12 |
Last Update Date | 2024-11-22 |