| NPI | 1285982819 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENISE JAGROO Sole Proprietor/Physical Therapist 718-317-7030 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: NY 024746) |
| Enumeration Date | 2012-08-29 |
| Last Update Date | 2012-10-01 |