| NPI | 1053153106 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLYDE MATTHEW LABIAL Occupational Therapist 929-412-9527 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2024-06-10 |
| Last Update Date | 2024-10-02 |