| NPI | 1962963280 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRUPTI BIPINCHANDRA MEHTA Representative 919-302-5091 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2019-03-28 |
| Last Update Date | 2019-03-28 |