| NPI | 1609814755 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY ADAM FOX President 877-407-3422 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| Enumeration Date | 2006-06-02 |
| Last Update Date | 2022-09-23 |