| NPI | 1417188913 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIEVIC EBORA VILLANUEVA Physical Therapist Manager 718-285-0588 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 030067) |
| Enumeration Date | 2009-07-31 |
| Last Update Date | 2009-07-31 |