| NPI | 1154774461 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID A MILLER Owner 229-226-8850 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: FL ME119141) |
| Enumeration Date | 2016-07-21 |
| Last Update Date | 2016-07-21 |