| NPI | 1750936084 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL S BURDICK Owner 808-381-5404 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine |
| Enumeration Date | 2019-08-05 |
| Last Update Date | 2020-07-14 |