| NPI | 1174061907 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEONG HO KIM Doctor Of Physical Therapist 929-233-4979 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: NY 033030) |
| Enumeration Date | 2017-01-31 |
| Last Update Date | 2017-01-31 |