| NPI | 1487775938 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN LOBEL Medical Director 866-342-3508 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: GA 054590) |
| Enumeration Date | 2007-04-03 |
| Last Update Date | 2020-08-22 |