| NPI | 1992153217 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAY KATARI CEO 754-444-3707 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 225100000X Physical Therapist |
| 225X00000X Occupational Therapist | |
| 235Z00000X Speech-Language Pathologist, | |
| 261QP2000X Clinic/Center, Physical Therapy | |
| Enumeration Date | 2016-05-26 |
| Last Update Date | 2020-10-13 |