| NPI | 1144932930 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANOOP CHACKO Physical Therapist 718-707-6970 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 2251E1300X Physical Therapist, Electrophysiology, Clinical |
| Enumeration Date | 2022-12-23 |
| Last Update Date | 2022-12-23 |