| NPI | 1790979524 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRYAN H EHRLICH Vice President/Owner 800-342-1153 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine |
| Enumeration Date | 2007-09-05 |
| Last Update Date | 2018-03-21 |