| NPI | 1164907523 |
|---|---|
| Doing Business As | INNOVAMED |
| Entity Type | Organization |
| Authorized Contact | LETTIE ANN LEIDICH Manager 919-797-5114 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation |
| Enumeration Date | 2018-10-01 |
| Last Update Date | 2022-03-31 |