| NPI | 1447721600 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK GARMISE Owner 631-406-7716 |
| Organization Subpart ? | No |
| Primary Taxonomy | 222Z00000X Orthotist |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2018-12-16 |
| Last Update Date | 2018-12-16 |