| NPI | 1235959966 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN MANUEL CERVONI ROSARIO President 939-397-6278 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation |
| Enumeration Date | 2024-10-16 |
| Last Update Date | 2024-10-18 |