| NPI | 1073100913 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ZECHARIAH MATHUR RN 267-972-7165 |
| Organization Subpart ? | No |
| Primary Taxonomy | 163WC3500X Registered Nurse, Cardiac Rehabilitation |
| Additional Taxonomies | 163WI0500X Registered Nurse, Infusion Therapy |
| 163WR0400X Registered Nurse, Rehabilitation | |
| 225100000X Physical Therapist | |
| 246ZE0500X Specialist/Technologist, Other, EEG | |
| 363L00000X Nurse Practitioner | |
| 363LA2200X Nurse Practitioner, Adult Health | |
| 363LC1500X Nurse Practitioner, Community Health | |
| 363LF0000X Nurse Practitioner, Family | |
| 363LP2300X Nurse Practitioner, Primary Care | |
| Enumeration Date | 2020-12-27 |
| Last Update Date | 2020-12-27 |