| NPI | 1952926982 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD A HENRY Owner 754-701-7274 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| Enumeration Date | 2020-06-16 |
| Last Update Date | 2020-06-16 |