| 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 |