| NPI | 1821741083 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRANDON UKIRI EDENEDO Owner/Physical Therapist 424-402-1605 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2022-01-28 |
| Last Update Date | 2022-01-29 |