| NPI | 1164530226 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACQUELYN S FRIGON Owner 870-535-4800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: AR R2808) |
| Enumeration Date | 2006-08-29 |
| Last Update Date | 2007-07-11 |