NPI | 1134378938 |
---|---|
Doing Business As | PAIN RELIEF AND PHYSICAL REHAB |
Entity Type | Organization |
Authorized Contact | KEITH S SUSKO President 239-226-0077 |
Organization Subpart ? | No |
Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation |
Additional Taxonomies | 208VP0000X Pain Medicine, Pain Medicine |
Enumeration Date | 2008-09-17 |
Last Update Date | 2023-09-26 |