| NPI | 1992648893 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AHTISHAM SAJID Owner 344-074-7455 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP3300X Clinic/Center, Pain |
| Additional Taxonomies | 111N00000X Chiropractor |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| Enumeration Date | 2026-04-14 |
| Last Update Date | 2026-08-20 |