| NPI | 1184413619 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HIMANI PATEL CEO 660-238-2174 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2025-05-01 |
| Last Update Date | 2025-05-01 |