| NPI | 1306141783 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MOWAFAK HUSSEIN Physical Therapist 718-795-3666 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 026939) |
| Enumeration Date | 2011-01-17 |
| Last Update Date | 2011-01-19 |