NPI | 1841299658 |
---|---|
Other Name | HARRISON PT |
Entity Type | Organization |
Authorized Contact | SHENANDOAH LEE BORCHERS Owner 870-743-4438 |
Organization Subpart ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: AR PT782) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: AR PT1784) |
225X00000X Occupational Therapist (Licence: AR OTR423) | |
Enumeration Date | 2005-07-14 |
Last Update Date | 2010-01-08 |