| NPI | 1548401078 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NELSON COLON Medical Doctor 888-395-4007 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: PR 11290) |
| Enumeration Date | 2009-03-12 |
| Last Update Date | 2009-03-12 |