| NPI | 1326194382 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CONRAD K KING Owner, Lead Practioner 302-838-5600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine (Licence: DE C10004541) |
| Enumeration Date | 2007-01-25 |
| Last Update Date | 2020-08-22 |