| 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 |
| Enumeration Date | 2008-09-17 |
| Last Update Date | 2023-09-26 |