| 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 |
| Enumeration Date | 2021-05-27 |
| Last Update Date | 2021-08-09 |