| NPI | 1417369380 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATIA JOLLY SOUVERAIN Owner 347-391-5060 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 034140-1) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: NY 63 017099) |
| 225XE0001X Occupational Therapist, Environmental Modification (Licence: NY 63 017099) | |
| 225XE1200X Occupational Therapist, Ergonomics (Licence: NY 63 017099) | |
| 225XF0002X Occupational Therapist, Feeding, Eating & Swallowing (Licence: NY 63 017099) | |
| 225XP0200X Occupational Therapist, Pediatrics (Licence: NY 63 017099) | |
| 225XP0019X Occupational Therapist, Physical Rehabilitation (Licence: NY 63 017099) | |
| 2251C2600X Physical Therapist, Cardiopulmonary (Licence: NY 034140-1) | |
| 2251E1200X Physical Therapist, Ergonomics (Licence: NY 034140-1) | |
| 2251G0304X Physical Therapist, Geriatrics (Licence: NY 034140-1) | |
| 2251N0400X Physical Therapist, Neurology (Licence: NY 034140-1) | |
| 2251X0800X Physical Therapist, Orthopedic (Licence: NY 034140-1) | |
| 2251P0200X Physical Therapist, Pediatrics (Licence: NY 034140-1) | |
| 2251S0007X Physical Therapist, Sports (Licence: NY 034140-1) | |
| Enumeration Date | 2014-05-28 |
| Last Update Date | 2014-05-29 |