| NPI | 1467750729 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELE Y HOLDING Physician/CEO 302-514-9155 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine (Licence: DE C1-0008928) |
| Additional Taxonomies | 204D00000X Neuromusculoskeletal Medicine & OMM (Licence: DE C1-0008928) |
| 2081N0008X Physical Medicine & Rehabilitation, Neuromuscular Medicine (Licence: DE C1-0008928) | |
| Enumeration Date | 2011-03-09 |
| Last Update Date | 2011-03-09 |