A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Neurologic Physical Therapy, who has demonstrated specialized knowledge and skill in neuroanatomy and neurophysiology, including knowledge of central, peripheral, and autonomic nervous systems in populations with and without neurologic conditions; motor control and movement sciences in populations with and without neurologic conditions; behavioral sciences, including psychology and neuropsychology, and psychiatry; and medical management and pharmacology.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Neurology |
2251N0400X | 65 | Physical Therapist in Private Practice | |
Physical Therapist |
225100000X | 65 | Physical Therapist in Private Practice |
| NPI Number | 1831879337 |
| LBN Legal business name | FAM REHABILITATION LLC |
| Authorized official | OLIVIA WATTLES - (OWNER/PROVIDER) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 07/19/2023 |
| Last updated | 07/19/2023 - About 3 years ago |
| Identifiers | n/a |
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