| NPI | 1790150365 |
|---|---|
| Other Name | NILESH TRADA |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC P-16041) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MI 5501017141) |
| Enumeration Date | 2015-12-08 |
| Last Update Date | 2019-11-20 |