| NPI | 1225570807 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLEN SCANTLEBURY Owner 516-849-7989 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: NY 037024) |
| Enumeration Date | 2016-11-14 |
| Last Update Date | 2016-11-14 |