| NPI | 1073532990 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANE MATTERN Office Administrator 302-734-3416 |
| Organization Subpart ? | No |
| Primary Taxonomy | 204D00000X Neuromusculoskeletal Medicine & OMM (Licence: DE 1989020815) |
| Enumeration Date | 2006-07-19 |
| Last Update Date | 2009-03-09 |