| NPI | 1962022186 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREW JIN Manager 833-988-0589 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation |
| Additional Taxonomies | 225100000X Physical Therapist |
| 207L00000X Anesthesiology | |
| 207Q00000X Family Medicine | |
| Enumeration Date | 2020-04-17 |
| Last Update Date | 2020-08-03 |