| NPI | 1962834655 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN BARTH President 866-907-4797 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 171100000X Acupuncturist |
| 225X00000X Occupational Therapist | |
| 111N00000X Chiropractor | |
| Enumeration Date | 2013-08-05 |
| Last Update Date | 2018-07-13 |