NPI | 1053371617 |
---|---|
Other Name | PAIN AND WELLNESS CENTER |
Entity Type | Organization |
Authorized Contact | LEO ISRAEL KOROTKI Owner 410-823-9333 |
Organization Subpart ? | No |
Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: MD D0024017) |
Enumeration Date | 2006-03-27 |
Last Update Date | 2010-06-30 |