Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Rehabilitation |
261QR0400X | B4[14] | Rehabilitation Agency | |
Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) |
261QR0401X | B4[14] | Comprehensive Outpatient Rehabilitation Facility |
| NPI # | 1669050563 |
| LBN Legal business name | CATHY BOYD PHYSICAL MEDICINE LLC |
| Authorized official | CHRISTOPHER GROSE - (OWNER) |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | 03/31/2021 |
| Last updated | 03/31/2021 - About 5 years ago |
| Identifiers | n/a |
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