| NPI | 1811666514 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GARRETT CHARLES ELLIS SWERINGEN Founder, Physical Therapist 386-451-6125 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Enumeration Date | 2021-09-07 |
| Last Update Date | 2023-08-16 |