| NPI | 1306643598 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IGOR TSERLYUK Physical Therapist/Owner 718-442-1003 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Additional Taxonomies | 225100000X Physical Therapist |
| 261QM1300X Clinic/Center, Multi-Specialty | |
| Enumeration Date | 2025-02-26 |
| Last Update Date | 2025-03-17 |