| NPI | 1710162094 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMOL K GUPTA Owner 386-673-0075 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: FL ME97749) |
| Enumeration Date | 2008-01-04 |
| Last Update Date | 2008-03-03 |