| NPI | 1134274772 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN RAIMONDI Owner President 718-855-1543 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY C17426) |
| Enumeration Date | 2007-01-24 |
| Last Update Date | 2012-04-12 |