| NPI | 1548912165 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN L SEYMORE Owner 866-526-8088 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology |
| Additional Taxonomies | 2251E1300X Physical Therapist, Electrophysiology, Clinical |
| Enumeration Date | 2022-01-25 |
| Last Update Date | 2026-03-25 |