| NPI | 1972128478 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MEHUL DESAI Owner 202-808-8295 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation |
| 208VP0000X Pain Medicine, Pain Medicine | |
| 225100000X Physical Therapist | |
| Enumeration Date | 2020-06-10 |
| Last Update Date | 2020-06-10 |