| NPI | 1265855290 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RACQUEL COBALLES ABITONA Physical Therapist 347-257-8469 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 030591) |
| Enumeration Date | 2014-01-28 |
| Last Update Date | 2014-02-07 |