NPI | 1235693300 |
---|---|
Entity Type | Organization |
Authorized Contact | MELISSA DICKE CEO, Owner 914-484-1731 |
Organization Subpart ? | No |
Primary Taxonomy | 225100000X Physical Therapist |
Additional Taxonomies | 225X00000X Occupational Therapist |
235Z00000X Speech-Language Pathologist, | |
Enumeration Date | 2019-01-23 |
Last Update Date | 2021-11-11 |