| NPI | 1508335712 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM SICKEL Business Development 301-231-7138 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation Pain Medicine |
| Enumeration Date | 2018-11-16 |
| Last Update Date | 2018-11-16 |