| NPI | 1841506771 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID DUNHAM Owner 765-643-8781 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 208VP0014X Pain Medicine Interventional Pain Medicine |
| Enumeration Date | 2010-08-30 |
| Last Update Date | 2010-08-30 |