| NPI | 1083473383 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA ANDERSON President 833-759-8720 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 261QC1500X Clinic/Center, Community Health |
| 2081N0008X Physical Medicine & Rehabilitation, Neuromuscular Medicine | |
| Enumeration Date | 2024-03-18 |
| Last Update Date | 2026-03-15 |