| NPI | 1619862646 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RIDDHI PATEL Owner / Physical Therapist 551-221-7044 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2025-06-10 |
| Last Update Date | 2025-06-10 |