| NPI | 1942576665 |
|---|---|
| Doing Business As | HENDRY REGIONAL INTERVENTIONAL PAIN THERAPY |
| Entity Type | Organization |
| Authorized Contact | LYNN BEASLEY CEO 863-902-3076 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QP3300X Clinic/Center, Pain (Licence: FL 3995) |
| Enumeration Date | 2012-03-27 |
| Last Update Date | 2012-10-23 |