| NPI | 1265062731 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALLISON RIVERA Credentialing Specialist 212-759-2282 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 2251H1200X Physical Therapist, Hand |
| Enumeration Date | 2020-01-23 |
| Last Update Date | 2020-02-04 |