NPI | 1578879888 |
---|---|
Entity Type | Organization |
Authorized Contact | LAUREN JANUSZ Owner 302-740-4798 |
Organization Subpart ? | No |
Primary Taxonomy | 261Q00000X Clinic/Center (Licence: DE U1-0001108) |
Additional Taxonomies | 225400000X Rehabilitation Practitioner |
Enumeration Date | 2010-08-24 |
Last Update Date | 2015-07-15 |