| NPI | 1194998633 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GLEEN BAUTISTA ANCIRO Physical Therapist / Owner 718-279-2900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 023716) |
| Enumeration Date | 2008-04-04 |
| Last Update Date | 2013-11-15 |