| NPI | 1225645039 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RUCHIR SHAH President 516-302-5076 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225XP0019X Occupational Therapist, Physical Rehabilitation |
| Additional Taxonomies | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2020-09-25 |
| Last Update Date | 2020-09-25 |