| NPI | 1164035713 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IRMINA VERZOSA Owner/Physical Therapist 917-957-1446 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center Physical Therapy |
| Enumeration Date | 2020-08-24 |
| Last Update Date | 2020-08-24 |