| NPI | 1245697358 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHARLENE SHERYL DICKS President/CEO 347-258-0502 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 034492-1) |
| Enumeration Date | 2016-01-20 |
| Last Update Date | 2016-10-17 |