| NPI | 1497091128 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM GEORGE SCHADE Physical Therapist/Director 631-707-1502 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Enumeration Date | 2012-12-28 |
| Last Update Date | 2012-12-28 |