Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Multi-Specialty |
261QM1300X | 70 | Clinic or Group Practice |
| NPI Number | 1457072134 |
| LBN Legal business name | ASPIRE THERAPY SERVICES LLC |
| Authorized official | ASHLEY CLARK - (CO-OWNER/PT) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 09/09/2022 |
| Last updated | 07/11/2024 - More than a year ago |
| Identifiers | n/a |
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