NPI | 1659481828 |
---|---|
Entity Type | Organization |
Authorized Contact | AARON KRAAI Owner 800-974-4378 |
Organization Subpart ? | No |
Primary Taxonomy | 225100000X Physical Therapist |
Additional Taxonomies | 261QP2000X Clinic/Center, Physical Therapy (Licence: IL 070-010541) |
Enumeration Date | 2006-08-30 |
Last Update Date | 2012-06-12 |