| NPI | 1144707274 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN SURIANO Manager 475-279-0838 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2018-07-21 |
| Last Update Date | 2019-02-26 |