| NPI | 1588022594 |
|---|---|
| Doing Business As | NEURAL INJURY CENTER |
| Entity Type | Organization |
| Authorized Contact | SAMBIT MOHAPATRA Physical Therapist 406-243-2429 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation |
| 261Q00000X Clinic/Center | |
| 261QR0400X Clinic/Center, Rehabilitation | |
| 293D00000X Physiological Laboratory | |
| 2081P0301X Physical Medicine & Rehabilitation, Brain Injury Medicine (Licence: MT PTP-PT-LIC-507) | |
| Enumeration Date | 2016-02-04 |
| Last Update Date | 2017-01-17 |