NPI | 1669050563 |
---|---|
Other Name | CATHY BOYD PHYSICAL MEDICINE LLC |
Entity Type | Organization |
Authorized Contact | CHRISTOPHER M GROSE Owner 304-250-6047 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QR0400X Clinic/Center, Rehabilitation |
Additional Taxonomies | 261QR0401X Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) |
Enumeration Date | 2021-03-31 |
Last Update Date | 2021-03-31 |