| NPI | 1104665447 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAREN FRADKIN Physical Therapist 267-255-1328 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| Enumeration Date | 2024-05-24 |
| Last Update Date | 2024-05-24 |