| NPI | 1568898948 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN H. JOHNSON CEO/Owner 814-943-1271 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine (Licence: PA MD438515) |
| Enumeration Date | 2013-09-18 |
| Last Update Date | 2017-02-28 |