NPI | 1720859978 |
---|---|
Doing Business As | PROLIFIC PT HEALTH AND WELLNESS |
Entity Type | Organization |
Authorized Contact | ISAAC LOGAN MILLER Owner 816-810-1849 |
Organization Subpart ? | No |
Primary Taxonomy | 225X00000X Occupational Therapist |
Additional Taxonomies | 225100000X Physical Therapist |
Enumeration Date | 2024-01-15 |
Last Update Date | 2024-01-29 |