| NPI | 1073381661 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CRAIG CHANG Manager 775-513-7013 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225XN1300X Occupational Therapist Neurorehabilitation |
| Additional Taxonomies | 2251N0400X Physical Therapist Neurology |
| Enumeration Date | 2023-12-13 |
| Last Update Date | 2023-12-13 |