| NPI | 1184971509 |
|---|---|
| Former Legal Business Name | FREDERICK SPINE & REHAB |
| Entity Type | Organization |
| Authorized Contact | GLORIA CORBIN Director Of Finance 301-732-6300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0000X Pain Medicine, Pain Medicine |
| Additional Taxonomies | 261QP3300X Clinic/Center, Pain (Licence: MD 10554640) |
| Enumeration Date | 2012-08-06 |
| Last Update Date | 2024-10-25 |