| NPI | 1336459544 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINA LOPEZ Physical Therapist 631-965-6916 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 027875) |
| Enumeration Date | 2010-10-21 |
| Last Update Date | 2010-10-21 |