| NPI | 1598134413 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELA G BURTON Owner 870-243-9033 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| Enumeration Date | 2015-09-21 |
| Last Update Date | 2025-04-09 |