| NPI | 1356699482 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERNESTO NOBLEZA VILLAS Director 347-909-7042 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 022729) |
| Enumeration Date | 2012-08-21 |
| Last Update Date | 2012-08-21 |