| NPI | 1316350481 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LYUDMILA PORETSKAYA President/ Owner 551-574-2177 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081N0008X Physical Medicine & Rehabilitation, Neuromuscular Medicine (Licence: NJ 25MA08695400) |
| Enumeration Date | 2014-06-06 |
| Last Update Date | 2014-06-06 |