| NPI | 1942239926 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BOBBY ISMAIL President 092-353-1988 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225XH1200X Occupational Therapist Hand (Licence: CA OT437) |
| Enumeration Date | 2006-07-01 |
| Last Update Date | 2023-12-06 |