| NPI | 1770061681 |
|---|---|
| Former Legal Business Name | PHYSIATRY ASSOCIATES |
| Entity Type | Organization |
| Authorized Contact | VALERIE MANGES Administrator 302-996-9522 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation |
| Enumeration Date | 2018-08-02 |
| Last Update Date | 2018-08-02 |