| NPI | 1023714029 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARAH RASHIDA SALUDSONG QUINTILLAN Partner 646-479-1640 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 2251E1300X Physical Therapist Electrophysiology, Clinical |
| 2251G0304X Physical Therapist Geriatrics | |
| 2251S0007X Physical Therapist Sports | |
| 2251X0800X Physical Therapist Orthopedic | |
| Enumeration Date | 2023-02-01 |
| Last Update Date | 2023-02-01 |