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 |