| NPI | 1215149208 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY D NIELSEN Owner 718-768-0002 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: NY 020669) |
| Enumeration Date | 2007-05-04 |
| Last Update Date | 2020-08-22 |