| 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 |