| NPI | 1114417573 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHEIKA TIFFANY HECKER President 718-577-8940 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 033463) |
| Enumeration Date | 2018-05-11 |
| Last Update Date | 2018-05-11 |