| NPI | 1386659779 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIERAN DENEEN Co President 631-447-9211 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 015188-1) |
| Enumeration Date | 2006-07-31 |
| Last Update Date | 2020-08-22 |