NPI | 1922860238 |
---|---|
Doing Business As | FLOW STATE PHYSIO |
Entity Type | Organization |
Authorized Contact | BRYCE MURRAY WADDELL Owner 217-898-0925 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2000X Clinic/Center Physical Therapy |
Enumeration Date | 2024-01-24 |
Last Update Date | 2024-10-16 |