| NPI | 1083290092 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KING IMASUEN CEO/Occupational Therapist 718-350-7188 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0401X Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) |
| Enumeration Date | 2021-03-20 |
| Last Update Date | 2021-03-20 |