| NPI | 1225274228 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAVEL KHROMCHENKO President 646-207-7262 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 019225) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 028641) |
| 225100000X Physical Therapist (Licence: NY 032531) | |
| 225100000X Physical Therapist (Licence: NY 030156) | |
| 225200000X Physical Therapy Assistant (Licence: NY 008315) | |
| Enumeration Date | 2008-12-22 |
| Last Update Date | 2013-08-16 |