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 |