| NPI | 1063022531 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEVIN ALVES Owner/Physical Therapist 631-629-1261 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2020-08-08 |
| Last Update Date | 2023-03-16 |