| NPI | 1467704692 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VINOD THOMAS JOHN Physical Therapist 516-439-0961 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 029326) |
| Enumeration Date | 2012-10-11 |
| Last Update Date | 2012-10-11 |