| NPI | 1083805535 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAYMOND LESLIE WONG-PAN Physical Therapist 845-255-1925 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 017188) |
| Enumeration Date | 2007-08-08 |
| Last Update Date | 2019-02-26 |