| NPI | 1720359425 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRANDON TESKEY CEO 888-316-7432 |
| Organization Subpart ? | |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 171W00000X Contractor |
| 225X00000X Occupational Therapist | |
| 235Z00000X Speech-Language Pathologist | |
| Enumeration Date | 2012-01-26 |
| Last Update Date | 2012-06-06 |