| NPI | 1790319895 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHY CALLAWAY Member 302-864-2222 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2020-02-27 |
| Last Update Date | 2025-03-03 |