| NPI | 1700305455 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIPTY MALI President 949-735-9472 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist Orthopedic (Licence: NJ 40QA01583400) |
| Enumeration Date | 2017-09-13 |
| Last Update Date | 2022-05-18 |