| NPI | 1659334746 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GLENN BROWN Owner 302-677-0100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: DE 1991832261) |
| Additional Taxonomies | 2251E1200X Physical Therapist, Ergonomics (Licence: DE 1991832261) |
| 2251G0304X Physical Therapist, Geriatrics (Licence: DE 1991832261) | |
| 2251H1200X Physical Therapist, Hand (Licence: DE 1991832261) | |
| 2251X0800X Physical Therapist, Orthopedic (Licence: DE 1991832261) | |
| 2251S0007X Physical Therapist, Sports (Licence: DE 1991832261) | |
| Enumeration Date | 2006-04-10 |
| Last Update Date | 2020-08-22 |