NPI | 1710388228 |
---|---|
Doing Business As | MMA & SPORTS REHAB |
Entity Type | Organization |
Authorized Contact | UJJWAL SHAKYA Physical Therapist 571-315-2637 |
Organization Subpart ? | No |
Primary Taxonomy | 225100000X Physical Therapist |
Enumeration Date | 2014-09-16 |
Last Update Date | 2014-09-16 |