| NPI | 1669049292 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANE C POHLMAN Owner 754-206-1877 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine |
| Enumeration Date | 2021-06-10 |
| Last Update Date | 2023-05-25 |