| NPI | 1033481668 |
|---|---|
| Doing Business As | SUPERIOR PHYSICAL MEDICINE |
| Entity Type | Organization |
| Authorized Contact | JONATHAN ROSAASEN Medical Director 805-520-2929 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332900000X Non-Pharmacy Dispensing Site |
| Enumeration Date | 2012-01-27 |
| Last Update Date | 2012-03-20 |