| NPI | 1114986965 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANN DESPERITO Physical Therapist 212-855-0857 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 013706) |
| Enumeration Date | 2006-03-21 |
| Last Update Date | 2020-08-22 |