| NPI | 1679871321 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL JOHN KOHRMAN Owner/General Partner 251-937-8759 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine |
| Enumeration Date | 2011-03-04 |
| Last Update Date | 2014-10-28 |