| NPI | 1306504857 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LADYBIRD MANANGAN REYES Manager/Owner 845-300-0693 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2251P0200X Physical Therapist Pediatrics |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| 225XP0200X Occupational Therapist Pediatrics | |
| 231H00000X Audiologist | |
| 235Z00000X Speech-Language Pathologist | |
| Enumeration Date | 2021-12-01 |
| Last Update Date | 2021-12-01 |