| NPI | 1679762561 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GEORGE J WOLCOTT Owner 4024-838-8591 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081N0008X Physical Medicine & Rehabilitation, Neuromuscular Medicine |
| Enumeration Date | 2007-10-17 |
| Last Update Date | 2007-10-17 |