| NPI | 1790399400 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARAH ELIZABETH EDMISTON CONTRADA Owner, PT 262-818-7285 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2020-09-01 |
| Last Update Date | 2020-10-26 |