| NPI | 1124659511 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUNELANDE COUTARD Provider 646-436-6777 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2020-02-04 |
| Last Update Date | 2020-02-04 |