NPI | 1740798784 |
---|---|
Entity Type | Organization |
Authorized Contact | GINA M GRAVES Administrator 302-540-9187 |
Organization Subpart ? | No |
Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine |
Enumeration Date | 2018-01-11 |
Last Update Date | 2018-01-11 |