| NPI | 1811672397 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VINOD MITTA Owner 888-380-0988 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation |
| Additional Taxonomies | 363A00000X Physician Assistant |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2023-06-21 |
| Last Update Date | 2023-06-21 |