NPI | 1023489531 |
---|---|
Entity Type | Organization |
Authorized Contact | MARK M LUSK President, Physical Therapist 646-430-5717 |
Organization Subpart ? | No |
Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: NY 031569) |
Enumeration Date | 2015-10-09 |
Last Update Date | 2021-04-25 |