| NPI | 1538581152 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSE L VARGAS CEO 877-749-7428 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: WA MD60413224) |
| Enumeration Date | 2014-01-16 |
| Last Update Date | 2020-04-10 |