| NPI | 1295905529 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH FORTIN Physician Owner 260-459-7313 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine |
| Additional Taxonomies | 208VP0014X Pain Medicine, Interventional Pain Medicine |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| Enumeration Date | 2008-03-03 |
| Last Update Date | 2011-01-11 |