| NPI | 1952168429 |
|---|---|
| Doing Business As | REVIVE REHAB PHYSICAL THERAPY |
| Doing Business As | REVIVE REHAB, LLC |
| Entity Type | Organization |
| Authorized Contact | SARAH MILLER Physical Therapist 660-247-1043 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Enumeration Date | 2024-03-01 |
| Last Update Date | 2024-03-01 |