| NPI | 1144943317 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMRITA RAMDEHOLL CFO 888-859-5343 |
| Organization Subpart ? | No |
| Primary Taxonomy | 204C00000X Neuromusculoskeletal Medicine, Sports Medicine |
| Additional Taxonomies | 2251N0400X Physical Therapist, Neurology |
| 246ZE0600X Specialist/Technologist, Other, Electroneurodiagnostic | |
| 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism | |
| 2084D0003X Psychiatry & Neurology, Diagnostic Neuroimaging | |
| 2084N0400X Psychiatry & Neurology, Neurology | |
| 2084N0600X Psychiatry & Neurology, Clinical Neurophysiology | |
| 2084P2900X Psychiatry & Neurology, Pain Medicine | |
| 2084V0102X Psychiatry & Neurology, Vascular Neurology | |
| 2085D0003X Radiology, Diagnostic Neuroimaging | |
| 213E00000X Podiatrist | |
| Enumeration Date | 2022-09-22 |
| Last Update Date | 2022-12-06 |