| NPI | 1033639976 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIANE CAROL RYAN President 917-402-7237 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NJ 40QA01639500) |
| Enumeration Date | 2017-06-21 |
| Last Update Date | 2017-06-21 |