NPI | 1881036697 |
---|---|
Entity Type | Organization |
Authorized Contact | MICHAEL SANDBORN President 386-445-9444 |
Organization Subpart ? | No |
Primary Taxonomy | 2081S0010X Physical Medicine & Rehabilitation, Sports Medicine (Licence: FL ME98460) |
Enumeration Date | 2013-07-22 |
Last Update Date | 2013-07-22 |