| NPI | 1558507657 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GLEN A HALVORSON CEO 877-408-2488 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: AZ 13423) |
| Enumeration Date | 2008-12-20 |
| Last Update Date | 2012-03-27 |