| NPI | 1487717500 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOMINIQUE ANTHONY LOPEZ Licensed Massage Therapist 914-328-3750 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NY 0188881) |
| Enumeration Date | 2006-12-19 |
| Last Update Date | 2020-11-05 |