| NPI | 1376922542 |
|---|---|
| Former Legal Business Name | INTEGRATIVE SPINE AND SPORTS |
| Entity Type | Organization |
| Authorized Contact | POOJA KHANNA Director Of Operations 603-943-3758 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081S0010X Physical Medicine & Rehabilitation, Sports Medicine (Licence: NY 240678) |
| Additional Taxonomies | 2081S0010X Physical Medicine & Rehabilitation, Sports Medicine |
| Enumeration Date | 2015-05-21 |
| Last Update Date | 2024-08-22 |