| NPI | 1922619733 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AUSTIN TRIPPE Owner/Physical Therapist 251-209-1157 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2020-08-14 |
| Last Update Date | 2024-11-01 |