NPI | 1972203073 |
---|---|
Entity Type | Organization |
Authorized Contact | BRAD KEISLING Director Of Corporate Operations 842-441-0595 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
Enumeration Date | 2023-03-07 |
Last Update Date | 2023-07-10 |