NPI | 1033669593 |
---|---|
Entity Type | Organization |
Authorized Contact | KATHLEEN BRUSH Credentialing Manager 718-819-6805 |
Organization Subpart ? | No |
Primary Taxonomy | 225X00000X Occupational Therapist |
Additional Taxonomies | 225100000X Physical Therapist |
Enumeration Date | 2016-10-09 |
Last Update Date | 2018-03-29 |