| NPI | 1982086427 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAULA SCARBOROUGH Ms PT 267-970-3660 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: PA PT013309L) |
| Enumeration Date | 2015-06-21 |
| Last Update Date | 2015-09-28 |