| NPI | 1538826326 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMANDA STREETER Vice President 800-699-9395 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist |
| Additional Taxonomies | 261QR0400X Clinic/Center, Rehabilitation |
| Enumeration Date | 2021-11-29 |
| Last Update Date | 2023-11-18 |