NPI | 1609135888 |
---|---|
Entity Type | Organization |
Authorized Contact | LISA KEOUGH Credentialing Specialist 405-848-7974 |
Organization Subpart ? | No |
Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: NY 239194) |
Enumeration Date | 2012-05-09 |
Last Update Date | 2012-05-09 |