| NPI | 1417280124 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JING SHAN Physical Therapist 718-357-3638 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: NY 018320) |
| Enumeration Date | 2009-09-13 |
| Last Update Date | 2009-09-13 |