| NPI | 1497519284 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LYNDA PAVEL Owner 917-579-5399 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist |
| Additional Taxonomies | 103TP2701X Psychologist Group Psychotherapy |
| 261QP2000X Clinic/Center Physical Therapy | |
| Enumeration Date | 2024-02-12 |
| Last Update Date | 2024-02-12 |