| NPI | 1356190334 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HUAGUANG DAVID QU Owner 570-507-8288 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine |
| Enumeration Date | 2024-05-14 |
| Last Update Date | 2025-08-08 |