| NPI | 1649815150 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BIANCA SIMMONS Owner, Physical Therapist 731-618-1803 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2019-11-08 |
| Last Update Date | 2023-04-28 |