NPI | 1588610513 |
---|---|
Entity Type | Organization |
Authorized Contact | FORREST L WAIDE Director 270-824-9227 |
Organization Subpart ? | No |
Primary Taxonomy | 225100000X Physical Therapist |
Additional Taxonomies | 2251H1200X Physical Therapist, Hand |
2251X0800X Physical Therapist, Orthopedic | |
Enumeration Date | 2006-05-25 |
Last Update Date | 2012-05-13 |