| NPI | 1114584612 |
|---|---|
| Doing Business As | ADVANCED INJURY REHAB |
| Entity Type | Organization |
| Authorized Contact | DAWN WIETFELDT Member 502-233-3456 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery |
| 208100000X Physical Medicine & Rehabilitation | |
| Enumeration Date | 2019-05-21 |
| Last Update Date | 2022-11-28 |