| NPI | 1942488572 |
|---|---|
| Doing Business As | PALISADE PAIN REHAB |
| Entity Type | Organization |
| Authorized Contact | CHANG HO LEE Proprietor 201-568-0118 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0400X Clinic/Center, Rehabilitation (Licence: NJ 25MA05757200) |
| Enumeration Date | 2008-02-06 |
| Last Update Date | 2008-06-18 |