| NPI | 1467775916 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CYNTHIA LOFGREN STICH Owner 516-652-8383 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 005310-1) |
| Enumeration Date | 2010-03-11 |
| Last Update Date | 2010-03-11 |