| NPI | 1366681330 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNY JIA Clinic Manager 718-577-8863 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225XP0019X Occupational Therapist, Physical Rehabilitation (Licence: NY 241419) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: NY 003201) |
| Enumeration Date | 2009-02-13 |
| Last Update Date | 2009-02-13 |