| NPI | 1174533897 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAMANATHAN PRAKASH Owner 704-792-9150 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: NC 9600688) |
| Enumeration Date | 2006-08-08 |
| Last Update Date | 2020-08-22 |