| NPI | 1063826824 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ARMANDO CARMELO PENNELLA Member 917-299-3177 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CT 010010) |
| Enumeration Date | 2014-06-19 |
| Last Update Date | 2014-06-19 |