| NPI | 1366505562 |
|---|---|
| Doing Business As | INTERACTIVE PHYSICAL THERAPY, PLLC |
| Entity Type | Organization |
| Authorized Contact | ROMMEL B MIRANDO Owner Member 718-527-0698 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Enumeration Date | 2006-12-18 |
| Last Update Date | 2007-08-09 |