NPI | 1104585264 |
---|---|
Doing Business As | MAIZE & BLUE REHAB |
Entity Type | Organization |
Authorized Contact | MELISSA PRESTIPINO Owner 646-346-0840 |
Organization Subpart ? | No |
Primary Taxonomy | 225100000X Physical Therapist |
Enumeration Date | 2021-12-15 |
Last Update Date | 2022-01-27 |