| NPI | 1477392793 |
|---|---|
| Doing Business As | CCPA PHYSIATRY |
| Entity Type | Organization |
| Authorized Contact | ROBERT W MCMURRAY CFO 302-623-7362 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation |
| Additional Taxonomies | 363A00000X Physician Assistant |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2024-05-24 |
| Last Update Date | 2024-05-24 |