| NPI | 1497063382 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOB BECERRA Owner/CEO 646-853-5315 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center Physical Therapy (Licence: NY 012422-1) |
| Enumeration Date | 2010-09-14 |
| Last Update Date | 2011-01-13 |