| NPI | 1912168816 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER ANDREW HOROWICZ Director 304-876-2715 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: WV PT 002689) |
| Additional Taxonomies | 261QR0400X Clinic/Center, Rehabilitation (Licence: WV PT 002689) |
| Enumeration Date | 2008-06-23 |
| Last Update Date | 2008-06-23 |