| NPI | 1255740056 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELVIRA KARAKOZOVA President 857-445-3773 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: MA 17858) |
| Enumeration Date | 2014-08-05 |
| Last Update Date | 2014-08-05 |