| NPI | 1407486905 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HEZHONG QI Director Of Clinic Operations 833-476-7377 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation |
| Additional Taxonomies | 2081P2900X Physical Medicine & Rehabilitation Pain Medicine |
| Enumeration Date | 2020-01-23 |
| Last Update Date | 2023-04-04 |