| NPI | 1093311482 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALLISON RIVERA Credentialing Specialist 646-518-5562 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 2251H1200X Physical Therapist, Hand |
| 225X00000X Occupational Therapist | |
| 225XH1200X Occupational Therapist, Hand | |
| Enumeration Date | 2020-12-10 |
| Last Update Date | 2020-12-10 |