| NPI | 1295256683 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SEUNGYE JEON Physical Therapist 347-933-2448 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 035505) |
| Enumeration Date | 2017-07-06 |
| Last Update Date | 2017-07-06 |