| NPI | 1508261470 |
|---|---|
| Former Legal Business Name | DIVINE PHYSICAL THERAPY |
| Entity Type | Organization |
| Authorized Contact | OLUWASEYI OJOFEITIMI Owner 646-504-1328 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center Physical Therapy (Licence: NY 023255) |
| Enumeration Date | 2014-11-04 |
| Last Update Date | 2014-11-04 |