| NPI | 1356086961 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MEKAAEL MAHMOUD CEO 401-256-9997 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| Enumeration Date | 2022-04-28 |
| Last Update Date | 2026-08-21 |