| NPI | 1033490628 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WINSTON TATING LOZA CEO 347-334-2787 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: NY 030266) |
| Enumeration Date | 2011-09-08 |
| Last Update Date | 2011-09-08 |