| NPI | 1962096123 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARLY COOPER President 385-412-8390 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 174H00000X Health Educator |
| 225200000X Physical Therapy Assistant | |
| Enumeration Date | 2021-02-26 |
| Last Update Date | 2024-01-16 |