| NPI | 1235599002 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDA SABELLICO Physical Therapist 646-580-7397 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 012696) |
| Additional Taxonomies | 252Y00000X Early Intervention Provider Agency (Licence: NY 012696) |
| Enumeration Date | 2016-03-07 |
| Last Update Date | 2016-03-07 |