NPI | 1265667695 |
---|---|
Former Name | AJIT KUMAR |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic |
Additional Taxonomies | 225100000X Physical Therapist (Licence: MA 18607) |
314000000X Skilled Nursing Facility (Licence: NH 3704) | |
Enumeration Date | 2009-05-29 |
Last Update Date | 2022-09-16 |