NPI | 1003120601 |
---|---|
Entity Type | Organization |
Authorized Contact | JARED L CASPE Physical Therapist 516-680-1640 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: NY 027959) |
Enumeration Date | 2010-08-06 |
Last Update Date | 2010-08-06 |