| NPI | 1912086018 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PETER BOHDAN BANDERA Officer 302-777-7723 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: DE C1-0003885) |
| Enumeration Date | 2006-11-02 |
| Last Update Date | 2020-08-22 |