NPI | 1770893943 |
---|---|
Entity Type | Organization |
Authorized Contact | RACHELLE B JANUSH Medical Director / Owner 334-260-8988 |
Organization Subpart ? | No |
Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine (Licence: AL DO489) |
Enumeration Date | 2010-10-20 |
Last Update Date | 2022-09-06 |