| NPI | 1043314172 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL J DIOGUARDI Physical Therapist 631-473-5036 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 1451) |
| Enumeration Date | 2006-09-11 |
| Last Update Date | 2020-08-22 |