| NPI | 1093084634 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAHROS K ISAAC Owner 201-803-7008 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: NY 014057) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 023107) |
| Enumeration Date | 2011-12-28 |
| Last Update Date | 2014-12-05 |