| NPI | 1972659332 |
|---|---|
| Former Legal Business Name | WOODSTOCK PHYSICAL THERAPY AND PERFORMANCE INSTITUTE, LLC |
| Entity Type | Organization |
| Authorized Contact | DALE YAKE CEO 678-403-3560 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Enumeration Date | 2007-01-26 |
| Last Update Date | 2016-02-09 |