| NPI | 1245422641 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARL SHENKMAN Med Dir 866-455-5816 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: GA 036000) |
| Enumeration Date | 2007-08-10 |
| Last Update Date | 2007-08-13 |