NPI | 1689153793 |
---|---|
Doing Business As | JOHN EARLS |
Entity Type | Organization |
Authorized Contact | JOHN EARLS Owner/Physical Therapist 802-505-5013 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
Enumeration Date | 2018-08-09 |
Last Update Date | 2019-09-30 |