| NPI | 1629709530 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HELEN HUNT Billing& Credentialing 731-487-5058 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation |
| Enumeration Date | 2022-06-21 |
| Last Update Date | 2022-06-21 |