| NPI | 1164179818 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HUSNI KHAYAL Owner 877-515-3336 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation |
| Additional Taxonomies | 111N00000X Chiropractor |
| 363LF0000X Nurse Practitioner, Family | |
| Enumeration Date | 2022-03-03 |
| Last Update Date | 2023-01-05 |