| NPI | 1285668152 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL E SEIDLER Owner 917-268-4480 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| Enumeration Date | 2006-07-10 |
| Last Update Date | 2021-03-30 |