| NPI | 1508053364 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARL T SHENKMAN Medical Director 866-592-9432 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: GA 036000) |
| Enumeration Date | 2007-09-26 |
| Last Update Date | 2007-09-26 |