| NPI | 1356991525 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIENNE COOK MAYFIELD Owner / Physical Therapist 631-786-6403 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Enumeration Date | 2019-09-18 |
| Last Update Date | 2019-09-18 |