| NPI | 1104456904 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALLISON RIVERA Credentialing Specialist 212-759-2282 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 2251H1200X Physical Therapist Hand |
| Enumeration Date | 2020-01-21 |
| Last Update Date | 2020-05-06 |