| NPI | 1104623131 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ABE KOPOLOVICH President 718-843-7279 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| Enumeration Date | 2025-02-27 |
| Last Update Date | 2025-02-27 |