| NPI | 1811754112 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NEIL WEISSHAAR Chief Of Staff 877-407-3422 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, |
| 225X00000X Occupational Therapist | |
| Enumeration Date | 2024-03-04 |
| Last Update Date | 2024-03-04 |