| NPI | 1396985065 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIANA VAVIKOVA Owner 212-791-3399 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center Physical Therapy (Licence: NY X009246) |
| Enumeration Date | 2009-02-20 |
| Last Update Date | 2009-02-20 |