| NPI | 1427604370 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NATALIE THOMPSON Patner 631-922-0283 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation |
| Additional Taxonomies | 2251P0200X Physical Therapist, Pediatrics |
| 225XP0200X Occupational Therapist, Pediatrics | |
| Enumeration Date | 2019-08-16 |
| Last Update Date | 2019-11-18 |