| NPI | 1114552353 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANILO SHANE DECASTRO BADIOLA Physical Therapist 347-465-0763 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2020-03-09 |
| Last Update Date | 2020-03-09 |