| NPI | 1386253516 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PEABRO CANDO Co Owner 917-558-4474 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| Enumeration Date | 2020-07-23 |
| Last Update Date | 2024-12-09 |