| NPI | 1760128672 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH ROBISON Owner 229-262-4075 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2022-05-12 |
| Last Update Date | 2022-12-21 |