| NPI | 1629138219 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARETES GODINEZ Managing Partner 725-333-7121 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NV 1786) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NV 0535) |
| Enumeration Date | 2006-12-12 |
| Last Update Date | 2024-09-13 |