| NPI | 1316331200 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VIC GUERRERO BALAOING Owner 718-942-5133 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 028539) |
| Enumeration Date | 2015-03-27 |
| Last Update Date | 2019-03-20 |