| NPI | 1700677374 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELA SILVA JOHNSON Owner/Physical Therapist 270-791-8993 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center Physical Therapy |
| Enumeration Date | 2025-05-14 |
| Last Update Date | 2025-05-14 |