| NPI | 1598300386 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUZANNE M MANZI Managing Member / Owner 346-217-1111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation |
| Additional Taxonomies | 2081P2900X Physical Medicine & Rehabilitation Pain Medicine |
| 2081S0010X Physical Medicine & Rehabilitation Sports Medicine | |
| Enumeration Date | 2019-11-15 |
| Last Update Date | 2019-11-15 |