| NPI | 1306907480 |
|---|---|
| Doing Business As | BELLEFONTE PAIN MANAGEMENT AND REHABILITATION |
| Entity Type | Organization |
| Authorized Contact | CHRIS WILDE CFO 606-833-0144 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine (Licence: KY 40015) |
| Enumeration Date | 2006-12-13 |
| Last Update Date | 2020-08-22 |