NPI | 1982168464 |
---|---|
Entity Type | Organization |
Authorized Contact | CHANDA HINTON Executive Director 800-766-4255 |
Organization Subpart ? | No |
Primary Taxonomy | 261QR0400X Clinic/Center, Rehabilitation |
Additional Taxonomies | 225100000X Physical Therapist |
Enumeration Date | 2019-01-29 |
Last Update Date | 2025-06-25 |