| NPI | 1346651569 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAYA KUNNEL Sole Owner 718-347-0104 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: NY 0088551) |
| Enumeration Date | 2014-05-09 |
| Last Update Date | 2014-05-09 |