| NPI | 1801155395 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN R HENSON President 877-378-4643 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: KS 6626691) |
| Enumeration Date | 2012-05-03 |
| Last Update Date | 2012-05-03 |