| NPI | 1205149234 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ACE GONZALES SUMAGAYSAY Member 718-564-3687 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 027980-1) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 032206-1) |
| Enumeration Date | 2010-07-19 |
| Last Update Date | 2022-11-07 |