| NPI | 1306497987 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | INHYEOK SONG Doctor Of Physical Therapy 347-827-0009 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center Physical Therapy |
| Enumeration Date | 2019-09-24 |
| Last Update Date | 2025-06-07 |