| NPI | 1134654049 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WINNIE QUIMBA GO President 718-850-8700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 225100000X) |
| Enumeration Date | 2017-04-28 |
| Last Update Date | 2017-04-28 |