Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Children |
283XC2000X | |||
Rehabilitation Unit |
273Y00000X | A0[7] | Hospital-Rehabilitation Unit |
| NPI Number | 1902175805 |
| LBN Legal business name | MARTIAL ARTS THERAPY |
| Authorized official | DAVID REICHER - (HEAD INSTRUCTOR) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 12/21/2011 |
| Last updated | 12/21/2011 - About 14 years ago |
| Identifiers | n/a |
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