| NPI | 1942450762 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTHONY E ABANG Owner 270-360-0008 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation Pain Medicine (Licence: KY 38573) |
| Enumeration Date | 2008-09-29 |
| Last Update Date | 2011-09-08 |