| NPI | 1114042017 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOCELYN GLORIA ALONSO RUIZ DE GUZMAN Director 718-518-1133 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2007-03-20 |
| Last Update Date | 2020-08-22 |