NPI | 1972118420 |
---|---|
Doing Business As | VERTRAE |
Entity Type | Organization |
Authorized Contact | KAMAL WOODS Owner 909-499-9062 |
Organization Subpart ? | No |
Primary Taxonomy | 207T00000X Neurological Surgery |
Additional Taxonomies | 261QM1300X Clinic/Center, Multi-Specialty |
261QP2000X Clinic/Center, Physical Therapy | |
Enumeration Date | 2020-09-11 |
Last Update Date | 2023-05-29 |