| NPI | 1972356814 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KHYATI AJAY MERCHANT Physical Therapist 980-748-9160 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center Physical Therapy |
| Enumeration Date | 2024-04-10 |
| Last Update Date | 2025-06-06 |