| NPI | 1073923264 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IGOR RAKOVCHIK Do 972-365-9842 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: TX N4020) |
| Enumeration Date | 2014-04-28 |
| Last Update Date | 2022-02-09 |