| NPI | 1790309656 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRIS DUGGAN Owner 877-839-6979 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| Enumeration Date | 2020-06-05 |
| Last Update Date | 2023-12-14 |