| NPI | 1063454148 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANA LORI HERR Managing Partner 516-694-4426 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 019821) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: NY X007197) |
| 225100000X Physical Therapist (Licence: NY 025547) | |
| Enumeration Date | 2006-06-12 |
| Last Update Date | 2023-05-15 |