| NPI | 1306354527 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HEATHER MARIE COOK Owner 347-754-7541 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: NY 025077) |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| Enumeration Date | 2018-01-22 |
| Last Update Date | 2021-04-30 |