| NPI | 1699362822 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RENJINI R CHANDRA Owner 913-599-2440 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine |
| Enumeration Date | 2020-12-22 |
| Last Update Date | 2021-03-23 |