| NPI | 1811665896 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTEN SHELLEY Owner/Physical Therapist 302-440-4045 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center Physical Therapy |
| Enumeration Date | 2021-09-02 |
| Last Update Date | 2021-09-02 |