| NPI | 1275980583 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIE ZAPATA Owner 917-600-4627 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: NY 025422) |
| Additional Taxonomies | 261QP2000X Clinic/Center, Physical Therapy (Licence: NJ 40QA000922300) |
| Enumeration Date | 2016-05-17 |
| Last Update Date | 2018-03-17 |