| NPI | 1992818462 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT ADAM MEDRZYCKI Owner 1678-923-2633 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: GA 007723) |
| Enumeration Date | 2006-08-17 |
| Last Update Date | 2020-08-22 |