| NPI | 1356608236 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OLIVER TELLO Owner/ Physical Therapist 917-295-1025 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: NY 028657) |
| Enumeration Date | 2012-04-18 |
| Last Update Date | 2012-04-18 |