| NPI | 1881421915 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBIN COLE Director 102-759-3338 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 225400000X Rehabilitation Practitioner |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation |
| 225100000X Physical Therapist | |
| 225X00000X Occupational Therapist | |
| Enumeration Date | 2024-09-13 |
| Last Update Date | 2024-09-13 |