| NPI | 1740573070 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL FRANK PROCACCINI Managing Member 770-416-9995 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation |
| Additional Taxonomies | 111NR0400X Chiropractor, Rehabilitation |
| Enumeration Date | 2011-05-19 |
| Last Update Date | 2011-05-19 |