NPI | 1245549625 |
---|---|
Entity Type | Organization |
Authorized Contact | JOSHUA MARC STEIN Sole Member LLC 913-689-8541 |
Organization Subpart ? | No |
Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: KS 05-33733) |
Enumeration Date | 2010-10-01 |
Last Update Date | 2012-11-02 |