| NPI | 1881430544 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEF PETER LAGORIO Owner 209-405-0118 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine |
| Enumeration Date | 2024-07-02 |
| Last Update Date | 2024-07-02 |