| NPI | 1265091987 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMY EAPEN Owner 845-494-4440 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2019-06-06 |
| Last Update Date | 2020-09-25 |