| NPI | 1871168302 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELICA MARIA SOBERON-CASSAR Owner 864-546-0153 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation |
| Enumeration Date | 2021-05-26 |
| Last Update Date | 2021-05-26 |