NPI | 1821523416 |
---|---|
Other Name | SHORT NORTH PEAK PERFORMANCE |
Entity Type | Organization |
Authorized Contact | ERIKA LYNNE PATTERSON Dr. Of Physical Therapy 574-276-5617 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: OH 201700201410) |
Additional Taxonomies | 405300000X Prevention Professional (Licence: OH 201700201410) |
Enumeration Date | 2017-04-21 |
Last Update Date | 2017-04-21 |