NPI | 1699325688 |
---|---|
Entity Type | Organization |
Authorized Contact | NICOLE RISPO Practice Manager 570-202-6671 |
Organization Subpart ? | No |
Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine |
Additional Taxonomies | 174400000X Specialist |
Enumeration Date | 2019-09-12 |
Last Update Date | 2019-09-13 |