| NPI | 1205394855 | 
|---|---|
| Doing Business As | PRIME REGENERATIVE AND PAIN MANAGEMENT | 
| Entity Type | Organization | 
| Authorized Contact | DEVASHISH SEN President 540-659-5414  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine | 
| Additional Taxonomies | 111N00000X Chiropractor | 
| Enumeration Date | 2019-03-02 | 
| Last Update Date | 2023-07-14 |