| NPI | 1477253615 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VAIBHAV RIKHYE CEO 888-380-0988 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation |
| Additional Taxonomies | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine |
| 363A00000X Physician Assistant | |
| 363LA2200X Nurse Practitioner, Adult Health | |
| 363LF0000X Nurse Practitioner, Family | |
| 363LG0600X Nurse Practitioner, Gerontology | |
| Enumeration Date | 2023-03-07 |
| Last Update Date | 2024-02-12 |