| NPI | 1548544570 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JONATHAN CRAIG STEVENS President 800-613-1580 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081N0008X Physical Medicine & Rehabilitation Neuromuscular Medicine (Licence: ID 7507) |
| Enumeration Date | 2011-10-10 |
| Last Update Date | 2012-08-13 |