| NPI | 1043610579 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER ANTHONY BAUTISTA Practice Administrator 914-309-9564 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 24014) |
| Enumeration Date | 2014-09-03 |
| Last Update Date | 2014-09-03 |