| NPI | 1962286708 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMUEL MARTIN KELOKATES Owner / Physical Therapist 267-459-3191 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2023-08-22 |
| Last Update Date | 2023-10-19 |