| NPI | 1003564519 |
|---|---|
| Former Legal Business Name | PROFORM PHYSICAL THERAPY INC |
| Entity Type | Organization |
| Authorized Contact | SAILENDRA JITENDRAKUMAR PATEL Authorized Official 524-047-3363 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2022-03-14 |
| Last Update Date | 2023-07-24 |