| NPI | 1447142500 |
|---|---|
| Former Legal Business Name | NONE |
| Entity Type | Organization |
| Authorized Contact | GEORGE IBRAHIM CEO 848-248-9755 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Enumeration Date | 2025-07-15 |
| Last Update Date | 2025-07-15 |