| NPI | 1972461135 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SCOTT FOURNIER EATON Physical Therapist And Owner 797-319-4723 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2026-01-14 |
| Last Update Date | 2026-01-14 |