| NPI | 1194430017 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SEUNGYE JEON President 347-933-2448 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 171100000X Acupuncturist |
| Enumeration Date | 2023-01-16 |
| Last Update Date | 2023-01-16 |