| NPI | 1215445226 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIVYESH PATEL President 646-275-0358 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2251S0007X Physical Therapist, Sports (Licence: NY 022421) |
| Enumeration Date | 2018-01-12 |
| Last Update Date | 2018-01-12 |