| NPI | 1093072381 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY GOLUB Owner/Therapist 631-539-2629 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 019662) |
| Enumeration Date | 2012-04-12 |
| Last Update Date | 2012-04-12 |