| NPI | 1669135778 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILL BUCHANAN Owner 229-881-2594 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| Enumeration Date | 2021-10-15 |
| Last Update Date | 2021-10-15 |