NPI | 1619145984 |
---|---|
Entity Type | Organization |
Authorized Contact | LANA HABER Office Manager 812-478-9494 |
Organization Subpart ? | No |
Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation Pain Medicine (Licence: IN 02001435) |
Enumeration Date | 2008-02-20 |
Last Update Date | 2008-02-20 |