| NPI | 1619926292 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONNABELLE BERTULFO VITUG President 9413-231-3397 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL 0009493) |
| Enumeration Date | 2006-05-09 |
| Last Update Date | 2007-10-16 |