| NPI | 1790672954 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VALERIE CUARTAS Licensing & Credentialing Specialis 844-316-7979 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist |
| Enumeration Date | 2025-06-20 |
| Last Update Date | 2025-06-20 |