NPI | 1275234742 |
---|---|
Doing Business As | DEEPER WELL PT |
Entity Type | Organization |
Authorized Contact | ELIZABETH S OPOKA Dr. Of Physical Therapy/Owner 917-586-3894 |
Organization Subpart ? | No |
Primary Taxonomy | 225100000X Physical Therapist |
Enumeration Date | 2023-03-13 |
Last Update Date | 2023-03-13 |