| NPI | 1265945158 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JONATHAN WANG D PT 917-683-5653 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: NJ 40QA01753100) |
| Enumeration Date | 2017-11-14 |
| Last Update Date | 2022-09-12 |