| NPI | 1942408729 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN A RODRIGUEZ-FEO President 251-928-4033 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: AL 11349) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: AL PTH3108) |
| Enumeration Date | 2007-07-03 |
| Last Update Date | 2009-01-13 |