Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Hand |
2251H1200X | 65 | Physical Therapist in Private Practice | |
Hand |
225XH1200X | 67 | Occupational Therapist in Private Practice |
| NPI Number | 1386501765 |
| LBN Legal business name | SPORTS PHYSICAL THERAPY OCCUPATIONAL THERAPY AND REHABILITATION SERVIC |
| Authorized official | BRIAN KREBS - (VICE PRESIDENT) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 01/07/2026 |
| Last updated | 04/21/2026 - About 1 months ago |
| Identifiers | n/a |
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