| NPI | 1740915008 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREGORY MOORE CEO 844-207-8321 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QX0100X Clinic/Center, Occupational Medicine |
| Additional Taxonomies | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2022-07-20 |
| Last Update Date | 2022-07-20 |