| NPI | 1093469389 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICK E HONDROS Regional Business Manager 917-515-0680 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2022-02-07 |
| Last Update Date | 2022-02-07 |