| NPI | 1295343499 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACKY MARI CERVANTES Doctor Of Physical Therapy/ Owner 646-713-2575 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Enumeration Date | 2020-07-14 |
| Last Update Date | 2020-07-14 |