| NPI | 1053183111 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NINEDTY CORDOVA Owner 754-888-9080 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 261QP2000X Clinic/Center, Physical Therapy |
| 261QP3300X Clinic/Center, Pain | |
| Enumeration Date | 2023-10-23 |
| Last Update Date | 2023-10-24 |