| NPI | 1326392341 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL KHAVIS Director 917-306-2509 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 032949-1) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: NY 018865) |
| 225X00000X Occupational Therapist (Licence: NY 006595-1) | |
| Enumeration Date | 2012-10-29 |
| Last Update Date | 2016-02-23 |