| NPI | 1184082257 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REBECCA SOKOLSKI Manager 631-379-7684 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: CT 008076) |
| Additional Taxonomies | 261QP2000X Clinic/Center, Physical Therapy (Licence: CT 007873) |
| Enumeration Date | 2016-02-04 |
| Last Update Date | 2016-04-27 |