| 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 |