| NPI | 1275957409 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNE CAROLINE THEOGENE Doctor Of Physical Therapy 516-477-6573 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 252Y00000X Early Intervention Provider Agency |
| Enumeration Date | 2014-02-07 |
| Last Update Date | 2014-02-07 |