| 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 |