| NPI | 1447305776 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROL J DEBAKKER President 844-476-3391 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: PA MD038380L) |
| Enumeration Date | 2007-01-25 |
| Last Update Date | 2021-01-14 |