| NPI | 1295233807 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANOOP CHACKO Physical Therapist 929-422-3880 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: NY 042614-1) |
| Enumeration Date | 2018-01-29 |
| Last Update Date | 2018-01-29 |