| NPI | 1891708442 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANNA P. KING VP,Authorized Official 7132-977-7000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2006-08-14 |
| Last Update Date | 2020-08-22 |