| NPI | 1295852192 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUSTIN ETTINGER Physical Therapist 516-627-8470 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0400X Clinic/Center, Rehabilitation (Licence: NY 026037) |
| Enumeration Date | 2007-03-23 |
| Last Update Date | 2020-08-22 |