| NPI | 1487853503 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RUTH ANNE REID-THORNTON Medical Director 866-715-1727 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: NY 197816) |
| Enumeration Date | 2007-07-18 |
| Last Update Date | 2012-06-22 |