| NPI | 1154445948 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICO KINTANAR SABULAO President 914-844-7537 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 251E00000X Home Health (Licence: NY 010548-1) |
| 261QP2000X Clinic/Center, Physical Therapy (Licence: NY 010548-1) | |
| 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: NY 010548-1) | |
| 320700000X Residential Treatment Facility, Physical Disabilities (Licence: NY 010548-1) | |
| Enumeration Date | 2007-03-19 |
| Last Update Date | 2021-10-21 |