| NPI | 1083091565 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORENZO GONZALEZ CEO/Clinician 917-608-9304 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: TX 1241500) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: FL AP 3587) |
| 171100000X Acupuncturist (Licence: NY 005464-1) | |
| 2251X0800X Physical Therapist, Orthopedic (Licence: NY 026635) | |
| 2251X0800X Physical Therapist, Orthopedic (Licence: FL 21614) | |
| 2251X0800X Physical Therapist, Orthopedic (Licence: CO PTL0011294) | |
| 2251X0800X Physical Therapist, Orthopedic (Licence: HI 3372) | |
| Enumeration Date | 2015-05-04 |
| Last Update Date | 2015-05-04 |