| NPI | 1427887447 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANKITA PATEL Owner 862-210-9471 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 261QP2000X Clinic/Center Physical Therapy |
| Enumeration Date | 2024-07-29 |
| Last Update Date | 2025-06-20 |