| NPI | 1114275682 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAREN THERNELAN President; Doctor Of PT 917-805-7031 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 030276) |
| Enumeration Date | 2012-08-15 |
| Last Update Date | 2012-08-15 |