| NPI | 1891728002 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANNA P. KING VP,Authorized Official 7132-977-7000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Additional Taxonomies | 225100000X Physical Therapist |
| 225XH1200X Occupational Therapist, Hand | |
| Enumeration Date | 2006-07-09 |
| Last Update Date | 2008-07-14 |