| NPI | 1275813990 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HENRIQUE DOSSANTOS Physical Therapist 631-549-1550 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 020147) |
| Enumeration Date | 2011-08-25 |
| Last Update Date | 2011-08-25 |