| NPI | 1275070039 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CASHMIR LUKE President 888-889-3359 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0401X Clinic/Center Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) |
| Additional Taxonomies | 261QP2000X Clinic/Center Physical Therapy |
| 261QR0400X Clinic/Center Rehabilitation | |
| 261QX0100X Clinic/Center Occupational Medicine | |
| Enumeration Date | 2017-01-31 |
| Last Update Date | 2017-01-31 |