| NPI | 1164818290 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSE L VARGAS CEO 877-749-7428 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: MO 2013039617) |
| Enumeration Date | 2015-04-15 |
| Last Update Date | 2020-04-09 |