NPI | 1043613342 |
---|---|
Entity Type | Organization |
Authorized Contact | SUSAN LOBERFELD Owner 917-209-6335 |
Organization Subpart ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT 29740) |
Additional Taxonomies | 225X00000X Occupational Therapist (Licence: FL PT 29740) |
235Z00000X Speech-Language Pathologist, (Licence: FL PT 29740) | |
Enumeration Date | 2014-09-30 |
Last Update Date | 2014-09-30 |