NPI | 1083462667 |
---|---|
Entity Type | Organization |
Authorized Contact | VENUGOPAL DIVYA Managing Member 267-275-1219 |
Organization Subpart ? | No |
Primary Taxonomy | 225100000X Physical Therapist |
Additional Taxonomies | 225X00000X Occupational Therapist |
235Z00000X Speech-Language Pathologist, | |
Enumeration Date | 2024-05-09 |
Last Update Date | 2024-09-20 |