NPI | 1790351088 |
---|---|
Doing Business As | ORIGIN PHYSICAL THERAPY |
Entity Type | Organization |
Authorized Contact | ANTHONY RAY TABOR Director Of Operations 702-623-8555 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
Additional Taxonomies | 251E00000X Home Health |
Enumeration Date | 2021-05-27 |
Last Update Date | 2025-09-23 |