| NPI | 1356095715 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOVIAL LEWIS Owner/Physical Therapist Pediatric 718-427-5585 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2251P0200X Physical Therapist, Pediatrics |
| Enumeration Date | 2022-02-04 |
| Last Update Date | 2022-02-04 |