| NPI | 1376146019 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMER FAHMY TAWADROS DAWOOD Owner / Physical Therapist 917-589-0684 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Enumeration Date | 2020-11-17 |
| Last Update Date | 2021-02-11 |