| NPI | 1376919662 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARYL LUISA TADABA RASCO President 718-837-7581 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 031132) |
| Enumeration Date | 2015-08-20 |
| Last Update Date | 2015-08-20 |