| NPI | 1922452267 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YANA GRIGOREFF Owner 409-256-4537 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation |
| Additional Taxonomies | 225400000X Rehabilitation Practitioner |
| Enumeration Date | 2016-04-22 |
| Last Update Date | 2016-04-22 |