| NPI | 1831711019 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY A LYNN CEO 026-795-0207 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine |
| Enumeration Date | 2020-05-11 |
| Last Update Date | 2021-04-12 |