| NPI | 1114028636 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WALTER PAUL VANCURA Owner/Physical Therapist 631-543-2068 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 016205) |
| Enumeration Date | 2006-09-26 |
| Last Update Date | 2008-07-16 |