| NPI | 1689518052 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER JAMES VALENCIA DIMLA Physical Therapist 840-218-0068 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Enumeration Date | 2026-04-16 |
| Last Update Date | 2026-06-11 |