NPI | 1861965568 |
---|---|
Doing Business As | CLEARWAY PAIN SOLUTIONS INSTITUTE |
Entity Type | Organization |
Authorized Contact | KACEY A MONTGOMERY Medical Director 850-791-6895 |
Organization Subpart ? | Yes |
Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
Additional Taxonomies | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine |
Enumeration Date | 2019-01-04 |
Last Update Date | 2023-04-19 |