| NPI | 1114667714 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RANY TALAL ABDALLAH President 855-932-7426 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0000X |
| Additional Taxonomies | 111N00000X Chiropractor |
| 207LP2900X Anesthesiology, Pain Medicine | |
| 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine | |
| Enumeration Date | 2022-03-31 |
| Last Update Date | 2023-09-06 |