| NPI | 1265682793 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICOLE ELISEE Co Owner 302-593-2864 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225400000X Rehabilitation Practitioner (Licence: DE 2006201606) |
| Enumeration Date | 2008-09-20 |
| Last Update Date | 2008-09-20 |