| NPI | 1699797563 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINA TEIMOURI Owner 878-313-3338 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery |
| Additional Taxonomies | 213E00000X Podiatrist (Licence: PA SC004042L) |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| Enumeration Date | 2006-07-23 |
| Last Update Date | 2023-02-15 |