| NPI | 1770105223 |
|---|---|
| Doing Business As | ERVIN PHYSICAL THERAPY |
| Entity Type | Organization |
| Authorized Contact | ISAAC WAYNE ERVIN Physical Therapist/Owner 270-873-4685 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| Enumeration Date | 2020-05-07 |
| Last Update Date | 2020-10-08 |