| NPI | 1114936416 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL J ROSENBLATT Owner 281-218-8797 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation |
| Additional Taxonomies | 2081P0010X Physical Medicine & Rehabilitation, Pediatric Rehabilitation Medicine |
| 363A00000X Physician Assistant | |
| Enumeration Date | 2006-08-05 |
| Last Update Date | 2023-11-03 |