| NPI | 1801472956 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BONNIE A. HEIDEL-ARNOLD Owner 239-775-0212 |
| Organization Subpart ? | No |
| Primary Taxonomy | 171100000X Acupuncturist |
| Additional Taxonomies | 208VP0000X Pain Medicine Pain Medicine |
| 261QM1300X Clinic/Center Multi-Specialty | |
| 261QP2000X Clinic/Center Physical Therapy | |
| 261QP2300X Clinic/Center Primary Care | |
| 261QP3300X Clinic/Center Pain | |
| 261QR0400X Clinic/Center Rehabilitation | |
| 261QV0200X Clinic/Center VA | |
| 273Y00000X Rehabilitation Unit | |
| Enumeration Date | 2021-03-19 |
| Last Update Date | 2021-04-15 |