| NPI | 1750312849 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAMELA VAN ETTEN PT Owner 334-799-5853 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2006-07-06 |
| Last Update Date | 2025-04-24 |