| NPI | 1487110888 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HAZEL MARUCUT STO TOMAS Doctor Of Physical Therapy 718-839-3046 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Enumeration Date | 2019-02-11 |
| Last Update Date | 2021-02-18 |