| NPI | 1770978702 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LATISHA MCKENZIE Doctor Of Physical Therapy/Owner 267-297-6499 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2015-04-06 |
| Last Update Date | 2020-07-20 |