NPI | 1114486727 |
---|---|
Entity Type | Organization |
Authorized Contact | ERICA MARTIN Owner 718-636-0545 |
Organization Subpart ? | No |
Primary Taxonomy | 2081P0010X Physical Medicine & Rehabilitation Pediatric Rehabilitation Medicine |
Enumeration Date | 2019-03-14 |
Last Update Date | 2019-03-14 |