NPI | 1215957626 |
---|---|
Entity Type | Organization |
Authorized Contact | MARY SMALL Manager 631-665-8645 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
Additional Taxonomies | 225100000X Physical Therapist |
Enumeration Date | 2006-07-20 |
Last Update Date | 2011-01-18 |