| NPI | 1811693807 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAULIK PANCHOLI President 678-687-7494 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 225200000X Physical Therapy Assistant |
| Enumeration Date | 2023-02-01 |
| Last Update Date | 2023-02-01 |