| NPI | 1861033466 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT STANLEY CEO 251-210-3210 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2019-10-04 |
| Last Update Date | 2020-01-07 |