| NPI | 1801511852 |
|---|---|
| Doing Business As | AGESTRONG CAPITOL LAKES |
| Entity Type | Organization |
| Authorized Contact | STACI TONE Controller 971-206-5125 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0400X Clinic/Center, Rehabilitation |
| Additional Taxonomies | 225100000X Physical Therapist |
| 225X00000X Occupational Therapist | |
| 235Z00000X Speech-Language Pathologist, | |
| Enumeration Date | 2022-10-11 |
| Last Update Date | 2024-02-19 |