| NPI | 1063741676 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OLATUNJI GBOTOSHO PT 914-948-7641 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: NY 017179) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2009-12-10 |
| Last Update Date | 2010-08-20 |