| NPI | 1679509160 |
|---|---|
| Doing Business As | DELAWARE BACK PAIN & SPORTS REHABILITATION CENTERS |
| Entity Type | Organization |
| Authorized Contact | VICTORIA WOLLASTON Credentialing Specialist 302-529-8783 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation |
| Enumeration Date | 2006-06-25 |
| Last Update Date | 2022-07-21 |