| NPI | 1811508138 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RACHEL ELISE SKAW Physical Therapist 906-250-2196 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2020-08-11 |
| Last Update Date | 2020-08-11 |