| NPI | 1134261266 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICARDO SANTIAGO President 917-399-4987 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 014916-1) |
| Enumeration Date | 2007-02-13 |
| Last Update Date | 2020-08-22 |