| NPI | 1700395407 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL AHUJA Physician 386-846-4603 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: FL ME126324) |
| Enumeration Date | 2017-09-25 |
| Last Update Date | 2022-05-19 |