| NPI | 1053582593 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | DORE BOWERS Physical Therapist/ Director 516-536-7388 | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 174400000X Specialist (Licence: NY 016540-1) | 
| Enumeration Date | 2008-03-12 | 
| Last Update Date | 2008-05-01 |