NPI | 1720970106 |
---|---|
Entity Type | Organization |
Authorized Contact | REED THOMAS CETTI Owner 912-659-1246 |
Organization Subpart ? | No |
Primary Taxonomy | 261QR0400X Clinic/Center Rehabilitation |
Additional Taxonomies | 225100000X Physical Therapist |
225X00000X Occupational Therapist | |
235Z00000X Speech-Language Pathologist | |
Enumeration Date | 2025-07-18 |
Last Update Date | 2025-08-03 |