| NPI | 1457859076 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEONID KLICHINSKY Owner/ Physical Therapist 267-249-0877 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center Physical Therapy |
| Enumeration Date | 2018-01-29 |
| Last Update Date | 2022-01-07 |