| NPI | 1164642898 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HEATHER MICHELE CLOUTMAN Owner 917-575-0422 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: NY 0236531) |
| Enumeration Date | 2007-04-26 |
| Last Update Date | 2020-08-22 |