| NPI | 1124535620 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MANOJ VARUGHESE ELAMTHOTTATHIL Physical Therapist 917-319-5688 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Enumeration Date | 2018-01-05 |
| Last Update Date | 2018-01-05 |