| NPI | 1760495964 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LARRY BRIAND Managing Member 877-552-2996 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WI 5817024) |
| Enumeration Date | 2006-08-15 |
| Last Update Date | 2009-10-27 |