| NPI | 1639353634 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM MARCO SULEIMAN President 308-865-7474 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: NE 18515) |
| Enumeration Date | 2007-12-27 |
| Last Update Date | 2007-12-27 |