| 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 |