| NPI | 1669838041 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES DENNIS NEAL Clinic Director 1619-869-8900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation |
| Enumeration Date | 2016-01-14 |
| Last Update Date | 2016-01-14 |