NPI | 1174019681 |
---|---|
Entity Type | Organization |
Authorized Contact | GLENN JORSTAD JAKOBSEN Medical Director 347-744-8605 |
Organization Subpart ? | No |
Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: NY 197596) |
Enumeration Date | 2018-07-09 |
Last Update Date | 2018-07-09 |