| NPI | 1316471808 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YULIYA RYBATSKAYA GRONOWETTER Owner 917-710-3357 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 0218961) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CT 010948) |
| Enumeration Date | 2017-04-12 |
| Last Update Date | 2017-04-12 |