NPI | 1982101143 |
---|---|
Entity Type | Organization |
Authorized Contact | AMY D'AMATO Contracts Manager 805-264-3388 |
Organization Subpart ? | No |
Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine |
Enumeration Date | 2018-04-12 |
Last Update Date | 2018-04-12 |