| NPI | 1598241341 |
|---|---|
| Doing Business As | CULTIVATE PHYSICAL THERAPY & MOTION LAB |
| Entity Type | Organization |
| Authorized Contact | JORDAN COULON Owner 432-889-9281 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center Physical Therapy |
| Enumeration Date | 2018-07-16 |
| Last Update Date | 2018-07-16 |