| NPI | 1902544851 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSICA GROCHOWSKY CEO 386-801-1683 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225200000X Physical Therapy Assistant |
| Enumeration Date | 2022-05-21 |
| Last Update Date | 2022-08-09 |