| NPI | 1740358324 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD LEAVER CEO 166-356-5000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: SC 4654) |
| Additional Taxonomies | 225000000X Orthotic Fitter |
| 2251S0007X Physical Therapist, Sports | |
| 2251X0800X Physical Therapist, Orthopedic | |
| 225X00000X Occupational Therapist | |
| 225XH1200X Occupational Therapist, Hand | |
| Enumeration Date | 2006-12-01 |
| Last Update Date | 2023-05-16 |