| NPI | 1295560258 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREA DAVID Owner 347-998-2240 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Additional Taxonomies | 252Y00000X Early Intervention Provider Agency |
| Enumeration Date | 2024-09-07 |
| Last Update Date | 2025-05-18 |