| NPI | 1063668911 |
|---|---|
| Doing Business As | PERFORMANCE SPORTS MEDICINE |
| Entity Type | Organization |
| Authorized Contact | JAMES DOERBECKER Director 516-735-7778 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Enumeration Date | 2008-08-12 |
| Last Update Date | 2008-08-12 |