| NPI | 1316375892 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL KRISTIAN MANGUBAT Manager/Owner 347-605-7946 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: NY 029005) |
| Enumeration Date | 2013-10-22 |
| Last Update Date | 2014-05-14 |