| NPI | 1568944999 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURA L DRAKE Master Pain Specialist 856-514-1990 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation |
| Enumeration Date | 2018-09-01 |
| Last Update Date | 2018-09-01 |