NPI | 1174132302 |
---|---|
Entity Type | Organization |
Authorized Contact | KENDALL BLACK Principle Physical Therapist 917-804-8707 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
Enumeration Date | 2020-07-23 |
Last Update Date | 2020-07-23 |