| NPI | 1093591372 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAILESH MULANI Administrator 346-529-1000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225200000X Physical Therapy Assistant |
| Enumeration Date | 2023-09-04 |
| Last Update Date | 2023-09-04 |