| NPI | 1760226161 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMUEL MIN Doctor Of Physical Therapy 551-999-3616 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 261QR0400X Clinic/Center, Rehabilitation |
| Enumeration Date | 2024-06-20 |
| Last Update Date | 2024-06-20 |