| NPI | 1265881874 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORELEI MERCADO President 917-403-7873 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 015822) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 027860) |
| 225X00000X Occupational Therapist (Licence: NY 013003) | |
| Enumeration Date | 2016-06-06 |
| Last Update Date | 2016-06-06 |