| NPI | 1487633624 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FAREEDUDDIN AHMED Sole Proprietor 563-324-2072 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: KS 23589) |
| Enumeration Date | 2006-01-16 |
| Last Update Date | 2007-11-08 |