| NPI | 1407726425 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANN MARIE HENNESSY Owner 917-848-3594 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center Physical Therapy |
| Additional Taxonomies | 225200000X Physical Therapy Assistant |
| Enumeration Date | 2025-11-05 |
| Last Update Date | 2025-11-05 |