| NPI | 1891109419 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDY LOUIS GEROW Owner 800-210-5819 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| 235Z00000X Speech-Language Pathologist, | |
| 314000000X Skilled Nursing Facility | |
| Enumeration Date | 2014-06-12 |
| Last Update Date | 2014-06-12 |