| NPI | 1780339333 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AKINBOYENLE SAMSON AKINOLA Physical Therapist 475-441-0360 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2022-02-12 |
| Last Update Date | 2022-02-12 |