NPI | 1407449648 |
---|---|
Entity Type | Organization |
Authorized Contact | SANJAY SURESH KAWANKAR CEO / CFO Practice Manager 323-727-2887 |
Organization Subpart ? | Yes |
Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier |
Additional Taxonomies | 261QP2000X Clinic/Center Physical Therapy |
Enumeration Date | 2021-02-18 |
Last Update Date | 2021-02-18 |