| NPI | 1598385866 |
|---|---|
| Former Legal Business Name | MODERN THERAPIES LLC |
| Entity Type | Organization |
| Authorized Contact | ZACHARY STEPHENS Owner 510-910-1959 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2020-04-16 |
| Last Update Date | 2020-04-16 |