| NPI | 1184803017 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IGOR VOLOSHIN President/Physical Therapist 718-614-6191 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: NJ 40QA01188300) |
| Additional Taxonomies | 261QP2000X Clinic/Center, Physical Therapy (Licence: NJ 40QA01268300) |
| Enumeration Date | 2007-10-27 |
| Last Update Date | 2009-04-06 |