| NPI | 1457342552 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANA LORI HERR Physical Therapist/Owner 516-694-4426 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 019821) |
| Enumeration Date | 2005-10-30 |
| Last Update Date | 2007-10-10 |