| NPI | 1053644153 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MADHURANI PRAKASH MAHAJAN Director 646-820-5669 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 28520-1) |
| Enumeration Date | 2009-09-08 |
| Last Update Date | 2022-04-11 |