| NPI | 1962597492 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONALD C BINGHAM CEO 731-664-0899 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation |
| Additional Taxonomies | 204R00000X Electrodiagnostic Medicine |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2013-10-28 |