NPI | 1851083117 |
---|---|
Former Legal Business Name | PERFORM PHYSICAL THERAPY & WELLNESS |
Entity Type | Organization |
Authorized Contact | BRITNEY WETHERINGTON MOBLEY Owner 912-515-5869 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
Enumeration Date | 2023-05-24 |
Last Update Date | 2023-08-01 |