| NPI | 1235884859 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MIKHAIL ARTAMONOV CEO 570-872-9800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine |
| Additional Taxonomies | 2081P0301X Physical Medicine & Rehabilitation, Brain Injury Medicine |
| 261QR0400X Clinic/Center, Rehabilitation | |
| Enumeration Date | 2022-02-14 |
| Last Update Date | 2022-02-14 |