| NPI | 1619968005 |
|---|---|
| Doing Business As | NEUROTRACE |
| Entity Type | Organization |
| Authorized Contact | GERALD KAUFMAN CEO 760-738-8811 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2251E1300X Physical Therapist, Electrophysiology, Clinical (Licence: CA EN8) |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2005-11-03 |
| Last Update Date | 2008-10-16 |