| NPI | 1861153090 |
|---|---|
| Doing Business As | REVITALIZE PHYSICAL THERAPY PLLC |
| Entity Type | Organization |
| Authorized Contact | HANNAH LEE FREIBOTH Owner 701-872-6724 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Enumeration Date | 2022-01-10 |
| Last Update Date | 2023-02-08 |