| NPI | 1811093693 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM CHARLES VAN NESS Owner/CEO 866-434-8633 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: NC 200001012) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: GA 049747) |
| 208100000X Physical Medicine & Rehabilitation (Licence: AL 00023727) | |
| 208100000X Physical Medicine & Rehabilitation (Licence: PA MD 073346-L) | |
| 208100000X Physical Medicine & Rehabilitation (Licence: IL 036-106517) | |
| 208100000X Physical Medicine & Rehabilitation (Licence: NY 237905) | |
| 208100000X Physical Medicine & Rehabilitation (Licence: IN 01061499A) | |
| 208100000X Physical Medicine & Rehabilitation (Licence: MD D0063862) | |
| 208100000X Physical Medicine & Rehabilitation (Licence: SC TL28503) | |
| 208100000X Physical Medicine & Rehabilitation (Licence: KY 33150) | |
| 208100000X Physical Medicine & Rehabilitation (Licence: OH 35 087813) | |
| 208100000X Physical Medicine & Rehabilitation (Licence: VA 0101239263) | |
| 208100000X Physical Medicine & Rehabilitation (Licence: FL ME 95839) | |
| Enumeration Date | 2006-09-16 |
| Last Update Date | 2020-08-22 |