NPI | 1871179085 |
---|---|
Entity Type | Organization |
Authorized Contact | SANJAY SURESH KAWANKAR CEO, CFO, Practice Manager 323-727-2887 |
Organization Subpart ? | Yes |
Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier |
Additional Taxonomies | 261QP2000X Clinic/Center, Physical Therapy |
Enumeration Date | 2021-03-19 |
Last Update Date | 2021-03-19 |