| NPI | 1033377361 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZA DIXON Owner 718-239-4314 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: NY 017905) |
| Enumeration Date | 2008-05-22 |
| Last Update Date | 2008-05-22 |