| NPI | 1245616614 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSE VARGAS Owner 877-749-7428 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: MN 58483) |
| Enumeration Date | 2015-08-07 |
| Last Update Date | 2019-08-21 |