| NPI | 1407976350 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY EDWARD FORREST President 845-354-1944 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 6023 and 5474) |
| Enumeration Date | 2007-04-01 |
| Last Update Date | 2020-08-22 |