| NPI | 1760506232 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMANDA STREETER Chief Administrative Officer 800-699-9395 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 1141182) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TX 1174572) |
| 225XH1200X Occupational Therapist, Hand (Licence: TX 109849) | |
| 225XH1200X Occupational Therapist, Hand (Licence: TX 106912) | |
| Enumeration Date | 2007-03-19 |
| Last Update Date | 2024-07-26 |