| NPI | 1134556186 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CALVIN K COATES Assistant Director 347-204-4672 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist |
| 253Z00000X In Home Supportive Care (Licence: NC 150876) | |
| Enumeration Date | 2013-10-07 |
| Last Update Date | 2013-11-15 |