| NPI | 1619706215 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUSTIN MARQUISE MORRISSETTE Owner/Physical Therapist 251-605-7915 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2251S0007X Physical Therapist, Sports |
| Additional Taxonomies | 2251X0800X Physical Therapist, Orthopedic |
| Enumeration Date | 2024-07-31 |
| Last Update Date | 2024-07-31 |