| NPI | 1316203946 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YELENA NEMTSOVA President 917-622-2612 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 05516) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: NY 006852) |
| Enumeration Date | 2012-04-09 |
| Last Update Date | 2016-10-12 |