| NPI | 1609416346 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MORGAN MURPHY Regulatory Compliance Officer 304-242-1093 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2020-01-10 |
| Last Update Date | 2020-01-10 |