| NPI | 1164755773 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YELENA REZNIK Physical Therapist 347-268-7478 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 026399) |
| Enumeration Date | 2009-09-14 |
| Last Update Date | 2011-12-08 |