| 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 |