| NPI | 1699591602 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FARHAD OSTOVARI CEO 301-412-3481 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225400000X Rehabilitation Practitioner |
| Enumeration Date | 2024-11-25 |
| Last Update Date | 2024-11-25 |