| NPI | 1003440025 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTIGONE SOPHIA VESCI Owner 947-989-7207 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic |
| Additional Taxonomies | 2255A2300X Specialist/Technologist, Athletic Trainer |
| Enumeration Date | 2020-02-28 |
| Last Update Date | 2020-02-28 |