| NPI | 1194144592 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YOHEI TAKADA Owner 646-512-1827 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: NY 030680) |
| Enumeration Date | 2014-04-14 |
| Last Update Date | 2022-09-22 |