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 |