| NPI | 1326842154 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MOHAMED ALAAELDIN MOHAMED SA OWIEDA Owner 347-465-5675 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center Physical Therapy |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2025-04-02 |
| Last Update Date | 2025-09-04 |