| NPI | 1447775648 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RYAN THOMAS CHEVRIER Owner/Member 845-675-8182 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Additional Taxonomies | 225100000X Physical Therapist |
| 2251S0007X Physical Therapist, Sports | |
| 2251X0800X Physical Therapist, Orthopedic | |
| Enumeration Date | 2017-08-08 |
| Last Update Date | 2018-03-17 |