NPI | 1609534346 |
---|---|
Former Legal Business Name | MYOMEDICINE, LLC |
Entity Type | Organization |
Authorized Contact | MELISSA COLBERT Medical Director 413-320-4811 |
Organization Subpart ? | No |
Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation |
Enumeration Date | 2021-11-30 |
Last Update Date | 2021-11-30 |