| NPI | 1407660608 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT WILLIAM BERGHORN Owner/Physical Therapist 516-387-4669 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Additional Taxonomies | 261QH0100X Clinic/Center, Health Services |
| 261QP0905X Clinic/Center, Public Health, State or Local | |
| 261QP3300X Clinic/Center, Pain | |
| 261QR0401X Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) | |
| Enumeration Date | 2025-02-06 |
| Last Update Date | 2025-03-03 |