| NPI | 1992356471 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RENEE MINERVA JONES Physical Therapist 267-918-3279 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2019-09-25 |
| Last Update Date | 2019-09-25 |