| NPI | 1992165864 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBRA L POWELL Executive Director 251-246-5761 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: AL PTH550) |
| Enumeration Date | 2016-03-04 |
| Last Update Date | 2022-08-19 |