| NPI | 1164087045 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KWANGCHUL SHIN Owner 718-445-6272 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 111N00000X Chiropractor |
| 171100000X Acupuncturist | |
| Enumeration Date | 2019-05-06 |
| Last Update Date | 2019-05-06 |