| NPI | 1174916670 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL KRISTIAN TRANGIA MANGUBAT Physical Therapist / CEO 718-450-3242 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: NY 029005) |
| Enumeration Date | 2015-03-09 |
| Last Update Date | 2015-03-09 |