| NPI | 1063595577 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MIGUEL ANGEL CHEQUE Physical Therapist 516-872-3944 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 019530) |
| Enumeration Date | 2006-10-20 |
| Last Update Date | 2020-08-22 |