| NPI | 1245367929 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOBY JOSEPH President 304-205-5821 |
| Organization Subpart ? | No |
| Primary Taxonomy | 204C00000X Neuromusculoskeletal Medicine, Sports Medicine (Licence: WV 15460) |
| Enumeration Date | 2007-02-28 |
| Last Update Date | 2014-07-14 |