| NPI | 1508036203 |
|---|---|
| Doing Business As | PROVIDENCE PHYSICAL MEDICINE AND REHABILITATION |
| Entity Type | Organization |
| Authorized Contact | REGINA JOY FRAME Credentialing Coordinator 803-865-4780 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation |
| Enumeration Date | 2008-03-10 |
| Last Update Date | 2008-03-10 |