| NPI | 1396791034 |
|---|---|
| Doing Business As | SPORTS MED REHAB |
| Entity Type | Organization |
| Authorized Contact | LORENA GONZALEZ Office Manager 914-946-5685 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 261QP2000X Clinic/Center, Physical Therapy |
| 2251X0800X Physical Therapist, Orthopedic | |
| 2251S0007X Physical Therapist, Sports | |
| Enumeration Date | 2006-05-25 |
| Last Update Date | 2008-07-11 |