| NPI | 1336383405 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TATIANA VELLER Physical Therapist 718-375-4066 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2251P0200X Physical Therapist, Pediatrics (Licence: NY 028309-1) |
| Enumeration Date | 2009-04-20 |
| Last Update Date | 2009-04-20 |