| NPI | 1124344650 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES NUSSBAUM Clinical Director, Owner 212-600-4781 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 020992) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: NY 007313) |
| Enumeration Date | 2010-04-08 |
| Last Update Date | 2010-10-26 |