| NPI | 1336613595 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN TEREBELO Executive Director 917-371-5751 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier |
| Additional Taxonomies | 1744P3200X Specialist, Prosthetics Case Management |
| 225XP0019X Occupational Therapist, Physical Rehabilitation | |
| Enumeration Date | 2019-01-21 |
| Last Update Date | 2019-01-21 |