| NPI | 1285774976 |
|---|---|
| Doing Business As | FIRE MOUNTAIN SPINE AND REHABILITATION CENTER |
| Entity Type | Organization |
| Authorized Contact | NATALIE SOONTHORNSWAD Billing Administrator 760-435-9390 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NR0400X Chiropractor, Rehabilitation |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2007-02-08 |
| Last Update Date | 2007-07-11 |