| NPI | 1255770137 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JONATHAN C LAQUI Physical Therapist 212-233-0889 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 031237) |
| Enumeration Date | 2013-06-24 |
| Last Update Date | 2019-10-22 |